| ||||||||||||||
|
|
|||||||||||||

Departments of *Anesthesiology and
Neurology, Girona, Catalonia, Spain
Address correspondence and reprint requests to Natàlia Aragonès, Department of Anesthesia, Hospital Universitari Doctor Josep Trueta, Av. de França s/n. 17007, Girona, Spain. Address email to anestesia{at}htrueta.scs.es
We describe a patient readmitted after developing a persistent postural headache resulting from an accidental lumbar puncture during labor 10 days earlier. Magnetic resonance imaging demonstrated bifrontal subdural hygromas and diffuse pachymeningeal enhancement. The patient had signs of a puerperal infection, and an epidural patch was performed with dextran 40 instead of blood, after which gradual improvement was noted. The patient was discharged totally asymptomatic 3 days later.
IMPLICATIONS: We describe a puerperal patient with persistent postural headache after accidental lumbar puncture in which magnetic resonance imaging showed subdural hygromas. The condition was successfully treated with an epidural patch using dextran 40.
|