1990
DOI: 10.1097/00132582-199010000-00065
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Meningitis After Obstetric Spinal Anaesthesia

Abstract: A case of meningitis after obstetric spinal anaesthesia is reported. The possible aetiological causes of postspinal meningitis are discussed and the dificulty in diferentiation between aseptic and bacterial meningitis noted. Ways to reduce the risk of bacterial contamination of cerebrospinaljuid are mentioned. The patient in this case made a full recovery, but the use of spinal anaesthesia in these patients is open to question.

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Cited by 5 publications
(6 citation statements)
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“…Exogenous bacterial sources such as contaminated equipment and solutions are becoming less common since the advent of single use devices. However, technical difficulty has been noted to be a potential source of exogenous infection [6]. In this case, three attempts were made with the same spinal needle raising the possibility of a breakdown in asepsis.…”
Section: Discussionmentioning
confidence: 98%
“…Exogenous bacterial sources such as contaminated equipment and solutions are becoming less common since the advent of single use devices. However, technical difficulty has been noted to be a potential source of exogenous infection [6]. In this case, three attempts were made with the same spinal needle raising the possibility of a breakdown in asepsis.…”
Section: Discussionmentioning
confidence: 98%
“…Despite the high incidence of headache as a result of dural puncture with a Tuohy needle, the anesthetist needs to think of a diff erent diagnosis, such as intracranial hematoma [10], intracranial tumors [11], pituitary apoplexy [12], cerebral venous thrombosis [13], migraine, chemical or infective meningitis [14] and nonspecifi c headache.…”
Section: Discussionmentioning
confidence: 99%
“…[51], cerebral venous thrombosis [50], other nonspecific headache, intracerebral haemorrhage and preeclampsia [52] in obstetric patient. It has been estimated that 39% of parturients report symptoms of a headache unrelated to dural puncture following delivery.…”
Section: Differential Diagnosismentioning
confidence: 99%