Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review
Epidural analgesia is a technique commonly used in labor. Intracranial subdural hygromas are a rare complication of neuraxial techniques and have only been reported in a handful of patients. We report a case of a female with postpartum headache, presenting 5 days after delivery where epidural analge...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Obstetric Anaesthesia and Critical Care |
| Subjects: | |
| Online Access: | http://www.joacc.com/article.asp?issn=2249-4472;year=2021;volume=11;issue=1;spage=39;epage=42;aulast=Krawczyk |
| _version_ | 1819140968228585472 |
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| author | Joanna M Krawczyk Jake Hartford-Beynon |
| author_facet | Joanna M Krawczyk Jake Hartford-Beynon |
| author_sort | Joanna M Krawczyk |
| collection | DOAJ |
| description | Epidural analgesia is a technique commonly used in labor. Intracranial subdural hygromas are a rare complication of neuraxial techniques and have only been reported in a handful of patients. We report a case of a female with postpartum headache, presenting 5 days after delivery where epidural analgesia was used, who was found to have bilateral subdural effusions and brainstem sagging. Our literature review summarizes pathophysiology, imaging, and approach to treatment, as well as guidance on long-term outcomes and follow-up needed in this patient population. |
| first_indexed | 2024-12-22T11:46:59Z |
| format | Article |
| id | doaj.art-e4283ee84cd34ef6a412e326c6cdb1c4 |
| institution | Directory Open Access Journal |
| issn | 2249-4472 |
| language | English |
| last_indexed | 2024-12-22T11:46:59Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Obstetric Anaesthesia and Critical Care |
| spelling | doaj.art-e4283ee84cd34ef6a412e326c6cdb1c42022-12-21T18:27:07ZengWolters Kluwer Medknow PublicationsJournal of Obstetric Anaesthesia and Critical Care2249-44722021-01-01111394210.4103/joacc.JOACC_98_20Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature reviewJoanna M KrawczykJake Hartford-BeynonEpidural analgesia is a technique commonly used in labor. Intracranial subdural hygromas are a rare complication of neuraxial techniques and have only been reported in a handful of patients. We report a case of a female with postpartum headache, presenting 5 days after delivery where epidural analgesia was used, who was found to have bilateral subdural effusions and brainstem sagging. Our literature review summarizes pathophysiology, imaging, and approach to treatment, as well as guidance on long-term outcomes and follow-up needed in this patient population.http://www.joacc.com/article.asp?issn=2249-4472;year=2021;volume=11;issue=1;spage=39;epage=42;aulast=Krawczykdural punctureepidural analgesiapost-dural puncture headachesubdural effusionsubdural hygroma |
| spellingShingle | Joanna M Krawczyk Jake Hartford-Beynon Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review Journal of Obstetric Anaesthesia and Critical Care dural puncture epidural analgesia post-dural puncture headache subdural effusion subdural hygroma |
| title | Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review |
| title_full | Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review |
| title_fullStr | Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review |
| title_full_unstemmed | Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review |
| title_short | Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review |
| title_sort | bilateral subdural effusions and brainstem sagging following labor epidural case report and literature review |
| topic | dural puncture epidural analgesia post-dural puncture headache subdural effusion subdural hygroma |
| url | http://www.joacc.com/article.asp?issn=2249-4472;year=2021;volume=11;issue=1;spage=39;epage=42;aulast=Krawczyk |
| work_keys_str_mv | AT joannamkrawczyk bilateralsubduraleffusionsandbrainstemsaggingfollowinglaborepiduralcasereportandliteraturereview AT jakehartfordbeynon bilateralsubduraleffusionsandbrainstemsaggingfollowinglaborepiduralcasereportandliteraturereview |