Delayed subdural haematoma complicated by abducens nerve palsy and cortical vein thrombosis after obstetric epidural anaesthesia

Abstract

not consistent with C5 and 6 root damage alone. In these cases, a surgical aetiology should be sought.

Ocular Motor Palsy After Spinal Puncture

“…Of the 114 reviewed cases, 19 epidural blood patches (EBPs) were used: 2 before diplopia onset, 9,24 7 during the first 24 hours after diplopia onset, 8,17,[25][26][27][28][29] and 8 EBPs 24 hours after diplopia onset. 2,27,[30][31][32][33][34][35] The other cases were not notified in time to undertake EBP. 2,36 Finally, 9.63% of the patients required an eye patch, and 5.25% needed a prism glass.…”

Epidural Labor Analgesia

“…However, studies looking at behavioral aspects of women in preparation for labor and childbirth have shown that the negative experience and pain of labor and childbirth could be reduced by encouraging women to believe they can cope with the pain [68][69][70][71][72][73], having the presence of …”

“…Clinically, opinion is divided as to whether these opioidinduced fetal heart rate changes are important. Case reports have described women requiring emergency CS for persistent fetal bradycardia following administration of intrathecal fentanyl [71], but trials and a meta-analysis have failed to show any 84 G.M. Stocks and S.K.…”

“…The occurrence of obstetric perineal third or fourth degree tears lacerations is an important cause of maternal morbidity as they may cause important long-term adverse effects including, in particular, the development of anal incontinence after childbirth but also dyspareunia, chronic perineal pain, and recto-vaginal fistula [71,72]. Although significant anal incontinence only affects a minority of women, its symptoms may have devastating effects on the quality of life for the women affected [73].…”

“…To reiterate, a persistent PDPH should lead to a high suspicion of possible cranial subdural hematoma [57]. Delayed treatment or protracted symptoms can lead to intracranial pathologies such as subdural hemorrhage or sinus vein thrombosis [2,13,[70][71][72].…”