Journals / Türk Anestezi ve Reanimasyon Dergisi / 2011 / Cilt: 39 - Sayı: 5

Pneumocephalus: a rare complication of epidural catheter placement

Pnömosefali: epidural kateter takılmasının ender bir komplikasyonu

Pages
271–275
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

From 3 days after insertion of epidural catheter a blunt, continuous, increasing with movement, sleep late when not accompanied by frontal headache, confusion, disorientation detected signs.We aimed to present a case of pneumocephalus.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Depending on epidural anesthesia and analgesia may develop various complications.
📊
Key Findings & Data:In this case report, 65 years old patient being treated for lung cancer, during epidural catheter insertion for pain in his left leg a sudden onset of headache then lost.
💡
Conclusion & Impact:From 3 days after insertion of epidural catheter a blunt, continuous, increasing with movement, sleep late when not accompanied by frontal headache, confusion, disorientation detected signs.We aimed to present a case of pneumocephalus.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Depending on epidural anesthesia and analgesia may develop various complications. Pneumocephalus is a rare complication during epidural catheter insertion. In this case report, 65 years old patient being treated for lung cancer, during epidural catheter insertion for pain in his left leg a sudden onset of headache then lost. From 3 days after insertion of epidural catheter a blunt, continuous, increasing with movement, sleep late when not accompanied by frontal headache, confusion, disorientation detected signs.We aimed to present a case of pneumocephalus.

Özet

Epidural anestezi ve analjeziye bağlı çeşitli komplikasyonlar gelişebilir. Pnömosefali’de epidural kateter takılması sırasında gelişen ve ender görülen bir komplikasyonudur. Bu olgu sunumunda 65 yaşında akciğer kanser tedavisi gören hastanın sol bacaktaki ağrısı için epidural kateter takılması sırasında ani gelişen ve daha sonra kaybolan baş ağrısı ile kateter takılmasından 3 gün sonra künt, sürekli, hareketle artan, yatınca geçmeyen frontal baş ağrısına eşlik eden konfüzyon, oryantasyon bozukluğu bulguları saptanan bir pnömosefali olgusunu sunmayı amaçladık.

🔖

Cite This Article

ÖMÜR, D., OĞUZALP, H., OĞUZALP, Ş. (2022). Pneumocephalus: a rare complication of epidural catheter placement. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 39 - Sayı: 5, 271–275. https://ajindex.com/articles/619819

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Aida S, Taga K, Yamakura T et al. Headache after attempted epidural block: the role of intrathecal air. Anesthesiology 1998;88:76-81. http://dx.doi.org/10.1097/00000542-199801000-00014 PMid:9447859 2. Esener Z. Systemic toxicity and statisfactory analgesia following epidural injection. T J Research Med Sei 1985;3:207-9. 3. Sertöz N, Demir F, Ayanoğlu HÖ. Epidural kateter çekilmesi sonrası spinal hematom. Türk Anest Rean Der Dergisi 2010;38:142-6. 4. Aslan K, Tuncel G. Epidural Analjezi ve Komplikasyonları. T Klin Tıp Bilimleri 2003;23:430-6. 5. Sethna NF, Berde CB. Venous air embolism during identification of the epidural space in children. Anesth Analg 1993;76:925-7. http://dx.doi.org/10.1213/00000539-199305000-00001 6. Nay PG, Milaszkiewicz R, Jothilingam S. Extradural air as a cause of paraplegia following lumbar analgesia. Anaesthesia 1993;48:402-4. http://dx.doi.org/10.1111/j.1365-2044.1993.tb07013.x PMid:8317649 7. Ash KM, Cannon JE, Biehl DR. Pneumocephalus following attempted epidural anesthesia Can J Anaesth 1991;38:772-4. http://dx.doi.org/10.1007/BF03008458 PMid:1914063 8. Gonzalez-Carasco FJ, Aquilar JL, Llubia C et al. Pneumocephalus after accidental dural puncture during epidural anesthesia. Reg Anesth 1993;18:193-5. PMid:8323896 9. Katz Y, Markovits R, Rosenberg B. Pneumocephalus after inadvertent intrathecal air injection during epidural block. Anesthesiology 1990;73:1277-9. http://dx.doi.org/10.1097/00000542-199012000-00034 PMid:2248409 10. Laviola S, Kirvela M, Spoto MR et al. Pneumocephalus with intense headache and unilateral pupillary dilatation after accidental dural puncture during epidural anesthesia for cesarean section. Anesth Analg 1999;88:582-83. PMid:10072010 11. Sherer DM, Onyeije CI, Yun E. Pneumocephalus following inadvertent intrathecal puncture during epidural anesthesia: a case report and review of the literature. J Matern Fetal Med 1999;8:138-140. http://dx.doi.org/10.1002/(SICI)1520-6661 (199905/06)8:3_____138::AID-MFM13>3.0.CO;2-J 12. Valentine SJ, Jarvis AP, Shutt LE. Comparative study of the effects of air or saline to identify the extradural space. Br J Anaesth 1991;66:224-7. http://dx.doi.org/10.1093/bja/66.2.224 PMid:1817625 13. Kozikowski GP, Cohen SP Lumbar puncture associated with pneumocephalus: Report of a case. Anesth Analg 2004;98:524-526. http://dx.doi.org/10.1213/01.ANE.0000095153. 75625.1F 14. Kasai K, Osawa M. Pneumocephalus during continous epidural block. Journal of Anesthesia 2007;21:59-61. http:/