Pneumocephalus associated with epidural and spinal anesthesia for labor

Sudama Reddi, Valentyna Honchar, Matthew S. Robbins

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Headache resulting from dural puncture in epidural and spinal anesthesia is usually secondary to a CSF leak. Pneumocephalus may also occur in this setting but has not been well-characterized. Although the risk factors for a CSF leak and pneumocephalus may overlap, their rates, clinical features, and treatments may be different. Our retrospective review of 182 patients with acute headache in the antepartum, peripartum, and postpartum settings yielded a 5:1 ratio of postdural puncture headache to pneumocephalus. The 3 patients with pneumocephalus had the defining characteristic of thunderclap headache during anesthesia. Early diagnosis is helpful as treatment with supplemental oxygen may hasten recovery. Pneumocephalus should be considered as a possible etiology of thunderclap headache in the setting of epidural and spinal anesthesia.

Original languageEnglish (US)
Pages (from-to)376-382
Number of pages7
JournalNeurology: Clinical Practice
Volume5
Issue number5
DOIs
StatePublished - Oct 1 2015

ASJC Scopus subject areas

  • Clinical Neurology

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