Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature

Epidural blood patch (EBP), generally considered a low-risk procedure, can potentially lead to significant neurological complications. We report the case of a parturient who underwent an uneventful EBP for postdural puncture headache (PDPH) and subsequently presented with progressively worsening rad...

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Autores principales: McInerney, Hailey J., Lee, Manuel, Saunders, Tracie, Schabel, Joy, Adsumelli, Rishimani S. N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104125/
https://www.ncbi.nlm.nih.gov/pubmed/32257448
http://dx.doi.org/10.1155/2020/8925731
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author McInerney, Hailey J.
Lee, Manuel
Saunders, Tracie
Schabel, Joy
Adsumelli, Rishimani S. N.
author_facet McInerney, Hailey J.
Lee, Manuel
Saunders, Tracie
Schabel, Joy
Adsumelli, Rishimani S. N.
author_sort McInerney, Hailey J.
collection PubMed
description Epidural blood patch (EBP), generally considered a low-risk procedure, can potentially lead to significant neurological complications. We report the case of a parturient who underwent an uneventful EBP for postdural puncture headache (PDPH) and subsequently presented with progressively worsening radicular symptoms. Magnetic resonance imaging (MRI) revealed an intrathecal hematoma, and conservative management with steroids led to complete recovery. Our case highlights the possibility of this rare complication following an uneventful procedure and the importance of prompt diagnosis and treatment to prevent serious adverse outcomes. Literature review, EBP alternatives, and strategies to minimize complications following blood patch will be discussed in this report.
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spelling pubmed-71041252020-04-01 Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature McInerney, Hailey J. Lee, Manuel Saunders, Tracie Schabel, Joy Adsumelli, Rishimani S. N. Case Rep Anesthesiol Case Report Epidural blood patch (EBP), generally considered a low-risk procedure, can potentially lead to significant neurological complications. We report the case of a parturient who underwent an uneventful EBP for postdural puncture headache (PDPH) and subsequently presented with progressively worsening radicular symptoms. Magnetic resonance imaging (MRI) revealed an intrathecal hematoma, and conservative management with steroids led to complete recovery. Our case highlights the possibility of this rare complication following an uneventful procedure and the importance of prompt diagnosis and treatment to prevent serious adverse outcomes. Literature review, EBP alternatives, and strategies to minimize complications following blood patch will be discussed in this report. Hindawi 2020-03-18 /pmc/articles/PMC7104125/ /pubmed/32257448 http://dx.doi.org/10.1155/2020/8925731 Text en Copyright © 2020 Hailey J. McInerney et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
McInerney, Hailey J.
Lee, Manuel
Saunders, Tracie
Schabel, Joy
Adsumelli, Rishimani S. N.
Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature
title Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature
title_full Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature
title_fullStr Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature
title_full_unstemmed Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature
title_short Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature
title_sort symptomatic intrathecal hematoma following an epidural blood patch for an obstetric patient with postdural puncture headache: a case report and synthesis of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104125/
https://www.ncbi.nlm.nih.gov/pubmed/32257448
http://dx.doi.org/10.1155/2020/8925731
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