Intracranial subdural hematoma following dural puncture in a parturient with HELLP syndrome View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2002-10

AUTHORS

Tiberiu Ezri, Ezzat Abouleish, Charles Lee, Shmuel Evron

ABSTRACT

PURPOSE: To present a case of postpartum bilateral intracranial subdural hematoma after dural puncture during attempted epidural analgesia for labour. CLINICAL FEATURES: This complication occurred following accidental dural puncture in a parturient with thrombocytopenia (99,000 x microL-1) who subsequently developed the syndrome of hemolysis, elevated liver enzymes and low platelets. On the first postoperative day, postdural puncture headache (PDPH) developed. An epidural blood patch (EBP) was deferred to the third postoperative day because of a platelet count of 21,000 x micro L-1. However, the headache intensified from a typical PDPH to one which was not posturally related. A second EBP was abandoned after the injection of 5 mL of blood because of increasing headache during the procedure. Magnetic resonance imaging revealed bilateral temporal subdural hematomas. The patient was managed conservatively and discharged home without any sequelae. CONCLUSION: It is conceivable that thrombocytopenia together with possible abnormal platelet function increased the risk of subdural hematoma. Alternative diagnoses to PDPH should be considered whenever headache is not posturally related. More... »

PAGES

820-823

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03017415

DOI

http://dx.doi.org/10.1007/bf03017415

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1018752120

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12374711


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