Acute Onset Headache Complicating Labor Epidural Caused by Intrapartum Pneumocephalus
Epidural placement for obstetric anesthesia is a common procedure. Pneumocephalus, the introduction of air into the cranial cavity after epidural placement, is a rare complication encountered when air is used for identification of the epidural space. A 42-year-old primipara undergoing epidural place...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2006-09, Vol.108 (3), p.795-798 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | Smarkusky, Loren DeCarvalho, Helena Bermudez, Ady González-Quintero, Víctor Hugo |
| description | Epidural placement for obstetric anesthesia is a common procedure. Pneumocephalus, the introduction of air into the cranial cavity after epidural placement, is a rare complication encountered when air is used for identification of the epidural space.
A 42-year-old primipara undergoing epidural placement reported sudden onset of severe headache with associated neurologic symptoms and nuchal rigidity. Emergent CT scan revealed pneumocephalus. With conservative management, her symptoms resolved with interval resumption of the air collection evidenced on interval CT.
Acute onset headache after epidural placement can present with impressive neurologic signs and symptoms. Prompt identification of the cause of this pathology is of vital importance to delineate pneumocephalus from potentially treatable or life-threatening disorders. |
| doi_str_mv | 10.1097/01.AOG.0000209185.54752.48 |
| format | Article |
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A 42-year-old primipara undergoing epidural placement reported sudden onset of severe headache with associated neurologic symptoms and nuchal rigidity. Emergent CT scan revealed pneumocephalus. With conservative management, her symptoms resolved with interval resumption of the air collection evidenced on interval CT.
Acute onset headache after epidural placement can present with impressive neurologic signs and symptoms. Prompt identification of the cause of this pathology is of vital importance to delineate pneumocephalus from potentially treatable or life-threatening disorders.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/01.AOG.0000209185.54752.48</identifier><identifier>PMID: 17018506</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: by The American College of Obstetricians and Gynecologists</publisher><subject>Acute Disease ; Adult ; Analgesia, Epidural - adverse effects ; Analgesia, Obstetrical - adverse effects ; Biological and medical sciences ; Delivery. Postpartum. Lactation ; Female ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Headache - etiology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Labor, Induced ; Labor, Obstetric ; Male ; Medical sciences ; MEDLINE ; Nervous system (semeiology, syndromes) ; Neurology ; Oligohydramnios ; Pneumocephalus - diagnosis ; Pneumocephalus - etiology ; Pneumocephalus - therapy ; Pregnancy ; Pregnancy Outcome ; Tomography, X-Ray Computed</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2006-09, Vol.108 (3), p.795-798</ispartof><rights>by The American College of Obstetricians and Gynecologists.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3926-38279ff7191d22a407582c665cd36593a467781f9e99a36f385d9dc19a62f81d3</citedby><cites>FETCH-LOGICAL-c3926-38279ff7191d22a407582c665cd36593a467781f9e99a36f385d9dc19a62f81d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18058305$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17018506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smarkusky, Loren</creatorcontrib><creatorcontrib>DeCarvalho, Helena</creatorcontrib><creatorcontrib>Bermudez, Ady</creatorcontrib><creatorcontrib>González-Quintero, Víctor Hugo</creatorcontrib><title>Acute Onset Headache Complicating Labor Epidural Caused by Intrapartum Pneumocephalus</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>Epidural placement for obstetric anesthesia is a common procedure. Pneumocephalus, the introduction of air into the cranial cavity after epidural placement, is a rare complication encountered when air is used for identification of the epidural space.
A 42-year-old primipara undergoing epidural placement reported sudden onset of severe headache with associated neurologic symptoms and nuchal rigidity. Emergent CT scan revealed pneumocephalus. With conservative management, her symptoms resolved with interval resumption of the air collection evidenced on interval CT.
Acute onset headache after epidural placement can present with impressive neurologic signs and symptoms. Prompt identification of the cause of this pathology is of vital importance to delineate pneumocephalus from potentially treatable or life-threatening disorders.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Analgesia, Epidural - adverse effects</subject><subject>Analgesia, Obstetrical - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Headache - etiology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Labor, Induced</subject><subject>Labor, Obstetric</subject><subject>Male</subject><subject>Medical sciences</subject><subject>MEDLINE</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Oligohydramnios</subject><subject>Pneumocephalus - diagnosis</subject><subject>Pneumocephalus - etiology</subject><subject>Pneumocephalus - therapy</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Tomography, X-Ray Computed</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkVtrGzEQRkVoadykf6EshfZtt7qsbn0zJk0CBvehgbyJsaSNt9VeKq0I-fdVYoP1MqA5n2Y4QugLwQ3BWn7HpFnvbhtcDsWaKN7wVnLatOoCrYiSrKaMPb5Dq9LXtVRte4k-pvSn8ERo9gFdEolLDIsVeljbvPhqNya_VHceHNiDrzbTMIfewtKPT9UW9lOsbube5Qih2kBO3lX7l-p-XCLMEJc8VL9Gn4fJ-vkAIadr9L6DkPynU71CDz9vfm_u6u3u9n6z3taWaSpqpqjUXSeJJo5SaLHkilohuHVMcM2gFVIq0mmvNTDRMcWddpZoELRTxLEr9O347hynf9mnxQx9sj4EGP2UkxFK02KGF_DHEbRxSin6zsyxHyC-GILNq1SDiSlSzVmqeZNqWlXCn09T8n7w7hw9WSzA1xMAyULoIoy2T2dOYa4Yft2iPXLPU1h8TH9DfvbRHDyE5fA2WlCOa1oq1uWz6nLDBPsP2HyOlA</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>Smarkusky, Loren</creator><creator>DeCarvalho, Helena</creator><creator>Bermudez, Ady</creator><creator>González-Quintero, Víctor Hugo</creator><general>by The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060901</creationdate><title>Acute Onset Headache Complicating Labor Epidural Caused by Intrapartum Pneumocephalus</title><author>Smarkusky, Loren ; DeCarvalho, Helena ; Bermudez, Ady ; González-Quintero, Víctor Hugo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3926-38279ff7191d22a407582c665cd36593a467781f9e99a36f385d9dc19a62f81d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Analgesia, Epidural - adverse effects</topic><topic>Analgesia, Obstetrical - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Headache - etiology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Labor, Induced</topic><topic>Labor, Obstetric</topic><topic>Male</topic><topic>Medical sciences</topic><topic>MEDLINE</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Oligohydramnios</topic><topic>Pneumocephalus - diagnosis</topic><topic>Pneumocephalus - etiology</topic><topic>Pneumocephalus - therapy</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smarkusky, Loren</creatorcontrib><creatorcontrib>DeCarvalho, Helena</creatorcontrib><creatorcontrib>Bermudez, Ady</creatorcontrib><creatorcontrib>González-Quintero, Víctor Hugo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smarkusky, Loren</au><au>DeCarvalho, Helena</au><au>Bermudez, Ady</au><au>González-Quintero, Víctor Hugo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Onset Headache Complicating Labor Epidural Caused by Intrapartum Pneumocephalus</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>108</volume><issue>3</issue><spage>795</spage><epage>798</epage><pages>795-798</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>Epidural placement for obstetric anesthesia is a common procedure. Pneumocephalus, the introduction of air into the cranial cavity after epidural placement, is a rare complication encountered when air is used for identification of the epidural space.
A 42-year-old primipara undergoing epidural placement reported sudden onset of severe headache with associated neurologic symptoms and nuchal rigidity. Emergent CT scan revealed pneumocephalus. With conservative management, her symptoms resolved with interval resumption of the air collection evidenced on interval CT.
Acute onset headache after epidural placement can present with impressive neurologic signs and symptoms. Prompt identification of the cause of this pathology is of vital importance to delineate pneumocephalus from potentially treatable or life-threatening disorders.</abstract><cop>New York, NY</cop><pub>by The American College of Obstetricians and Gynecologists</pub><pmid>17018506</pmid><doi>10.1097/01.AOG.0000209185.54752.48</doi><tpages>4</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 2006-09, Vol.108 (3), p.795-798 |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Acute Disease Adult Analgesia, Epidural - adverse effects Analgesia, Obstetrical - adverse effects Biological and medical sciences Delivery. Postpartum. Lactation Female Gestational Age Gynecology. Andrology. Obstetrics Headache - etiology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Labor, Induced Labor, Obstetric Male Medical sciences MEDLINE Nervous system (semeiology, syndromes) Neurology Oligohydramnios Pneumocephalus - diagnosis Pneumocephalus - etiology Pneumocephalus - therapy Pregnancy Pregnancy Outcome Tomography, X-Ray Computed |
| title | Acute Onset Headache Complicating Labor Epidural Caused by Intrapartum Pneumocephalus |
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