Iterative epidural blood patch for recurrent spontaneous intracranial hypotension during pregnancy - 12/10/16

Abstract |
A 30-year-old woman at 28 weeks presented with sudden onset of intense headache, epigastric pain, hot flushes, nausea, vomiting, and stiff neck. Cerebral magnetic resonance imaging showed pathognonomic signs of spontaneous intracranial hypotension (SIH). Epidural blood patch was performed 2 times during pregnancy for symptoms relief in spite of medical treatments. No other recurrence was noted until the spontaneous delivery. SIH is a rare entity during pregnancy which may be diagnosed using magnetic resonance imaging. Iterative Epidural blood patch should be proposed to patients with SIH during pregnancy because it allowed faster symptoms improvement and patient relief with complete recovery than medical treatment only.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Recurrence of spontaneous intracranial hypotension (SIH) is possible during pregnancy. |
• | Epidural blood patch (EBP) should be used during pregnancy for SIH. |
• | Iterative EBP for symptoms relief is safe during pregnancy. |
• | Spinal anesthesia after iterative EBP for SIH is possible and safe in pregnant woman. |
Keywords : Epidural blood patch, Pregnancy, Spontaneous intracranial hypotension
Plan
Vol 34
P. 239-243 - novembre 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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