Journal of clinical anesthesia · 2017
A case of paradoxical presentation of a postural postdural puncture headache after combined spinal-epidural anesthesia.
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Bordlee John W, Beakley Burton D, Mody Rayomond, McConville Anne P, Weed Jonathan T, McClure Brian P, Foldes Peter J, Ma Jonathan G, Kaye Alan D, Eskander Jonathan P
Аннотация
We report a case of paradoxical presentation of a postural postdural puncture headache secondary to dural puncture with a 25-gauge Whitacre needle for combined spinal-epidural anesthesia. This 27-year-old female patient presented to the emergency department with elevated blood pressure and a global headache 9 days after administration of epidural anesthesia for a spontaneous vaginal delivery after an uncomplicated pregnancy. The patient reported that the headache was more intense when lying down and immediately improved when she sat or stood up from a recumbent position. The patient was discharged from emergency department after an improvement following treatment with labetalol, ondansetron, ketorolac, and fluid resuscitation.
Предметные рубрики MeSH
AcetaminophenAdultAnalgesics, OpioidAnesthesia, EpiduralAnesthesia, ObstetricalAnesthesia, SpinalAnesthetics, LocalBupivacaineCerebrospinal Fluid LeakDelivery, ObstetricDrug CombinationsFemaleFentanylHumansHypertensionKetorolacLabetalolNeedlesOndansetronOxycodonePost-Dural Puncture HeadachePregnancy