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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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1
Monash Health, 246 Clayton Road, Clayton, Melbourne, VIC 3168, Australia.
2
Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.

Abstract

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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