-
Int J Obstet Anesth · Oct 2011
Case ReportsBlood patches may cause scarring in the epidural space: two case reports.
- C B Collier.
- Department of Anaesthetics, Prince of Wales Private Hospital, Randwick, NSW, Australia. nfi1@pacific.net.au
- Int J Obstet Anesth. 2011 Oct 1;20(4):347-51.
AbstractThe use of epidural blood patches has become standard treatment for postdural puncture headache. Two cases suggest that there may occasionally be incomplete resorption of the blood patch, resulting in scarring in the epidural space that can be visualised using postpartum contrast injection and fluoroscopy. Both patients had a previous caesarean delivery during which they had suffered inadvertent dural punctures followed by epidural blood patches. When subsequently presenting for repeat caesarean delivery, both had inadequate epidural anaesthesia. Epidural insertion was then repeated, resulting in successful anaesthesia in one patient but a total subdural block with delayed apnoea and unconsciousness in the other. Distortion of epidural anatomy by fibrosis was considered to be a possible cause.Copyright © 2011 Elsevier Ltd. All rights reserved.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..