Iatrogenic Pneumocephalus Complicated by Cardiac Arrest in a Peripartum Patient

Haj, Roland; Devanabanda, Bhavana; Louis, Martine A.; Kapoor, Anil

doi:10.25270/con.2020.03.00021

Cited by 3 publications

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“…Intracranial hypotension may result in rostral movement of the brain or brainstem nuclei, which can lead to cardiovascular changes such as bradycardia and arterial hypotension (Alfery et al 1980). Cardiac arrest associated with pneumocephalus has been reported in humans, caused by intrathecal injection of air during administration of spinal anaesthesia (Haj et al 2020). However in the foal, free flow of CSF occurred following needle placement.…”

Section: Discussionmentioning

confidence: 99%

Asystole associated with cerebrospinal fluid collection in a 3‐month‐old foal under general anaesthesia

Bennell

Bardell

2020

Equine Veterinary Education

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A 3-month-old colt foal presented to the Philip Leverhulme Equine Hospital for investigation of progressive neurological signs. Diagnostic investigation included cerebrospinal fluid collection, which was performed under general anaesthesia. During this procedure, severe bradycardia which progressed to asystole occurred. Initial resuscitation was successful; however, the foal had clinical signs consistent with cerebral hypoxia post-resuscitation and was euthanased the following day due to deterioration of neurological function. Asystole was presumed due to a Cushing-type reflex as a result of changes in intracranial pressure during the sampling procedure.

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Section: Discussionmentioning

confidence: 99%

Asystole associated with cerebrospinal fluid collection in a 3‐month‐old foal under general anaesthesia

Bennell

Bardell

2020

Equine Veterinary Education

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Anaesthetics/Lidocaine

2022

Reactions Weekly

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Pneumocephalus secondary to epidural analgesia: a case report

Ahmad,

Bellamy,

Ott

et al. 2023

J Med Case Reports

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Introduction Epidural anesthesia is commonly used for analgesia during labor, and headache is a common complaint following this procedure. Pneumocephalus, on the other hand, is a rare and potentially serious complication of epidural anesthesia, which is most often caused by accidental puncture of the dura with the introduction of air into intrathecal space. Case presentation We present the case of a 19-year-old Hispanic female who developed a severe frontal headache and neck pain eight hours following epidural catheter placement to deliver analgesia during labor. Physical examination was within normal limits without any neurological deficits. Computed tomography of the head and neck would later demonstrate small to moderate amounts of pneumocephalus, predominantly within the frontal horn of the lateral ventricles, and a moderate amount of air within the spinal canal. She was treated conservatively with analgesia. Though headache recurred after discharge, repeat imaging showed improvement in the volume of pneumocephalus and conservative management was continued. Conclusions Although a rare complication and an uncommon cause of headache following epidural anesthesia, a high index of suspicion must remain for pneumocephalus as it may cause significant morbidity and, in some cases, be potentially life-threatening.

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Iatrogenic Pneumocephalus Complicated by Cardiac Arrest in a Peripartum Patient

Cited by 3 publications

References 0 publications

Asystole associated with cerebrospinal fluid collection in a 3‐month‐old foal under general anaesthesia

Asystole associated with cerebrospinal fluid collection in a 3‐month‐old foal under general anaesthesia

Anaesthetics/Lidocaine

Pneumocephalus secondary to epidural analgesia: a case report

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