Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch

被引：17

作者：

Mercieri, M ^{[1
]}

Mercieri, A

Paolini, S

Arcioni, R

Lupoi, D

Passarelli, F

Pinto, G

Celleno, D

机构：

[1] Univ Roma La Sapienza, Osped S Andrea, Rome, Italy

[2] Osped S Isidoro, Bergamo, Italy

[3] Osped S Marie, Terni, Italy

[4] Osped Fatebenefratelli, Rome, Italy

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2003年 / 90卷 / 01期

关键词：

analgesia; obstetric; brain; cerebral ischaemia; complications; dural puncture;

D O I：

10.1093/bja/aeg021

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

Puerperal women are reported to have a rate of cerebral infarction 13 times greater than non-pregnant females. We report a case of cerebral ischaemia in a 30-yr-old healthy parturient after epidural analgesia for labour, complicated by dural puncture treated with two epidural blood patches. Investigations showed the development of cerebral ischaemia on postpartum day 14. A transcranial Doppler ultrasonography showed vasospasm of the left middle cerebral artery still present at 3-month follow-up. At 1-yr follow-up, the patient had homonymous hemianopsia. We discuss the possible causative mechanism of the cerebral ischaemia in relation to the dural puncture and epidural blood patch.

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收藏

页码：98 / 100

页数：3

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