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Case Rep Anesthesiol. 2016;2016:5789504. doi: 10.1155/2016/5789504. Epub 2016 Aug 29.

Epidural Anesthesia Complicated by Subdural Hygromas and a Subdural Hematoma.

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Monash Health, 246 Clayton Road, Clayton, Melbourne, VIC 3168, Australia.
Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.


Inadvertent dural puncture during epidural anesthesia leads to intracranial hypotension, which if left unnoticed can cause life-threatening subdural hematomas or cerebellar tonsillar herniation. The highly variable presentation of intracranial hypotension hinders timely diagnosis and treatment. We present the case of a young laboring adult female, who developed subdural hygromas and a subdural hematoma following unintentional dural puncture during initiation of epidural anesthesia.

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