Inadvertent dural puncture during attempted thoracic epidural catheter placement complicated by cerebral and spinal subdural hematoma

Minor complications of inadvertent dural puncture during attempted epidural anesthesia are common, related to the size of the needle and the incidence of postdural puncture headache. Serious complications are much less common. We report a case where inadvertent dural puncture with an 18-gauge epidur...

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Veröffentlicht in:	Journal of clinical anesthesia 2006-03, Vol.18 (2), p.132-134
Hauptverfasser:	Narouze, Samer N., Casanova, Jose, El-Jaberi, Mohammed, Farag, Ehab, Tetzlaff, John E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anesthesia Anesthesia, complications Anesthesia, epidural Anesthesia, Epidural - adverse effects Anesthesia, regional Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Back pain Biological and medical sciences Blood Patch, Epidural Carcinoma, Squamous Cell - surgery Catheterization - adverse effects Cerebral Hemorrhage, Traumatic - complications Dura Mater - injuries Dural puncture Female Headache - etiology Headache - therapy Headaches Hematoma, Subdural - complications Humans Lung Neoplasms - surgery Medical sciences Medical treatment Ostomy Pain management Spinal Injuries - complications Subdural hematoma
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Zusammenfassung:	Minor complications of inadvertent dural puncture during attempted epidural anesthesia are common, related to the size of the needle and the incidence of postdural puncture headache. Serious complications are much less common. We report a case where inadvertent dural puncture with an 18-gauge epidural needle was associated with the creation of intracranial and spinal subdural hematoma.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/j.jclinane.2005.05.006