Ascending back pain and headache during attempted epidural placement

Ascending back pain and headache during attempted epidural placement

A 30-year-old parturient requested epidural analgesia during labor. Immediately after the epidural space was presumably identified using the loss-of-resistance-to-air technique, she reported severe back pain, followed by neck pain, which progressed to severe unrelenting headache. An emergency comput...

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Veröffentlicht in:Journal of clinical anesthesia 1991, Vol.3 (5), p.414-417
Hauptverfasser: Kreitzer, Joel M., Reed, Allan P., Dauro, Albert T., Brodman, Michael L., Bronster, David J.
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Air
Analgesia, Epidural
Analgesia, Obstetrical
Anesthetic techniques, epidural
Back Pain - etiology
cephalgia
complications, intrathecal injection
Female
Headache - etiology
Humans
Labor, Obstetric
pneumocephalus
Pregnancy
subarachnoid air
Subarachnoid Space
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Beschreibung
Zusammenfassung:A 30-year-old parturient requested epidural analgesia during labor. Immediately after the epidural space was presumably identified using the loss-of-resistance-to-air technique, she reported severe back pain, followed by neck pain, which progressed to severe unrelenting headache. An emergency computerized tomographic (CT) scan performed during labor showed air in the intracranial subarachnoid space.
ISSN:0952-8180
1873-4529
DOI:10.1016/0952-8180(91)90188-S