Intracerebral hemorrhage after inadvertent dural puncture and cesarean section under general anesthesia: A case report

Lee, Su Yeon; Kim, Su Yeon; Kim, Min Young; Park, Seo Min; Bang, Yun Sic; Lee, Hyun Sook; Kang, Yong In; Bang, Eun Chi; Cho, Kyung Sook

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2013;8(1):55-58.
Published online January 31, 2013.

Intracerebral hemorrhage after inadvertent dural puncture and cesarean section under general anesthesia: A case report

Su Yeon Lee, Su Yeon Kim, Min Young Kim, Seo Min Park, Yun Sic Bang, Hyun Sook Lee, Yong In Kang, Eun Chi Bang, Kyung Sook Cho

¹Department of Anesthesiology and Pain Medicine, CHA Gangnam Medical Center, CHA University, Seoul, Korea. smilesue82@naver.com
²Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Abstract

Epidural analgesia is frequently used for control of labor pain. Seizure of parturient could be misdiagnosed as eclampsia. A parturient presented a generalized tonic clonic seizure during first stage of labor in two and a half hour after dural puncture and epidural blood patch. She had received an emergency cesarean section under general anesthesia and had another seizure during transfer to the intensive care unit. A brain computed tomography showed intracerebral hemorrhage and pneumocephalus. After conservative treatment, she could discharge without any sequelae in 13 days. The anesthesiologists should be aware of the possibility of intracerebral hemorrhage when they confront a seizure of parturient although there is no evidence of relation between dural puncture and intracerebral hemorrhage.

Key Words: Dural puncture, Epidural analgesia, Intracerebral hemorrhage, Pneumocephalus