Subdural Hematoma following Accidental Dural Puncture while Performing Epidural Analgesia - A Case Report

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dc.contributor.authorAldhahri, Noor Ghanim Abdullahen_US
dc.contributor.authorKhan, Rashid Men_US
dc.contributor.authorKaul, Nareshen_US
dc.contributor.authorAbdullah, Al-Jadidien_US
dc.date.accessioned2020-09-24T07:09:31Z
dc.date.available2020-09-24T07:09:31Z
dc.date.issued2019-03
dc.description.abstractIntroduction: Subdural hematoma is a rare but seriouscomplication of accidental dural puncture during epidural orspinal anesthesia. This case report emphasizes the importanceof close follow-up of patients with post dural punctureheadache following accidental dural puncture and methods toidentify development of subdural hematoma in such patients.Case report: a 23-year-old healthy primigravida developedaccidental dural puncture while trying to locate epiduralspace using a Tuohy needle for painless labor. The patientcomplained of headache on the 2nd post-operative day that wassignificantly relieved by analgesics, bed rest and hydration.Later she presented with severe headache that becamepersistent and lost its correlation with change of posture.Other than feeling nauseated she had no other additional signsand symptoms. Diagnosis of the SDH was confirmed via CTand treated surgically. The patient recovered completely.Conclusion: One should consider the possibility of subduralhematoma in patients when postdural puncture headache isprolonged or has a change in the character of headache withor without neurological symptoms for an early successfulintervention.en_US
dc.identifier.affiliationsAnesthesia Resident, Oman Medical Specialty Board Khoula Hospital, Muscat, Sultanate of Oman, Indiaen_US
dc.identifier.affiliationsSr. Consultant, Department of Anesthesia and ICU, Khoula Hospital, Muscat, Sultanate of Oman, Indiaen_US
dc.identifier.affiliationsSr. Consultant, Khoula Hospital, Muscat, Sultanate of Oman, Indiaen_US
dc.identifier.affiliationsConsultant and HOD, Department of Anesthesia and ICU, Khoula Hospital, Muscat, Sultanate of Oman, Indiaen_US
dc.identifier.citationAldhahri Noor Ghanim Abdullah, Khan Rashid M, Kaul Naresh, Abdullah Al-Jadidi. Subdural Hematoma following Accidental Dural Puncture while Performing Epidural Analgesia - A Case Report. International Journal of Contemporary Medical Research . 2019 Mar; 6(3): c14-c15en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202235
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber3en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org//10.21276/ijcmr.2019.6.3.23en_US
dc.subjectPostdural Puncture Headacheen_US
dc.subjectSubdural Hematomaen_US
dc.subjectPainless Laboren_US
dc.titleSubdural Hematoma following Accidental Dural Puncture while Performing Epidural Analgesia - A Case Reporten_US
dc.typeJournal Articleen_US
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