Intrathecal hematoma and sacral radiculitis following repeat epidural blood patch
Jeremy Wolfson
John Liaghat
Hong Liu
Cristina Chandler
1.Department of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA 95817, USA2.Department of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA 95817, USA3.Department of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA 95817, USA4.Department of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA 95817, USA
摘要：Postdural puncture headache (PDPH) is an incapacitating complication that can occur following spinal anesthesia and with inadvertent dural puncture during epidural anesthesia.We present a case of a 32-year-old G2P1 female who was admitted for induction of labor and received epidural catheter placement for analgesia.After an inadvertent dural puncture and development of a PDPH,the patient was offered conservative measures for the first 48 hours without improvement.An epidural blood patch (EBP) was placed achieving only moderate relief.Two days later,a second EBP was performed and the patient developed severe back pain which radiated bilaterally to her buttocks.Magnetic resonance imaging (MRI) demonstrated the presence of blood in the intrathecal space.This could be the cause of sacral radiculitis,an uncommon complication of an EBP.This suggests that EBPs could potentially cause neurologic symptoms which may be more common than people previously thought.As complicated outcomes have followed both conservative and aggressive management,MRI can be an early diagnostic tool in such cases and a multidisciplinary approach should be taken.
机标关键词：
分类号：R614(外科手术学)
论文发表日期：2021-01-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 68-71 )
英文信息