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2. Complicated Pneumocephalus after Epidural Anesthesia: A Case Report

Author

Ebru Efetürk Ekmekçioğlu, Erol Güler, Serkan Aydin, Ali Riza Ozcan, and Erdinc Civelek

Subjects
medicine.medical_specialty, business.industry, General Medicine, medicine.disease, Surgery, Tension pneumocephalus, Pneumocephalus, Anesthesia, Medicine, medicine.symptom, business, Complication, Intracranial mass, Confusion
Abstract

SUMMARY Pneumocephalus is a well known complication of spinal and epidural anesthesia, but subclinical pneumocephalus complicated by fever leading to intracranial mass effect (tension pneumocephalus) is extremely rare. We report a case of sudden and progressive bifrontal headache and confusion after a dural puncture during the procedure of epidural anesthesia. The pneumocephalus resolved spontaneously after 5 days. Possible mechanisms for this occurrence, along with steps that can be taken to prevent this complication, are discussed.

Published
2013
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