[Aseptic meningitis following spinal anesthesia. Report of a case].
Aseptic meningitis after lumbar puncture and spinal anesthesia is a rare but serious complication, whose acute onset and clinical symptoms mimic septic meningitis. A 33 year old woman presented this complication 5 h after an uneventful cesarean section under subarachnoid blockade. Though lumbar puncture revealed pleocytosis with negative Gram stains and cultures, she was treated with antibiotics and made a full recovery. The clinical picture, differential diagnosis and value of early lumbar puncture are discussed. The successful use of midazolam to treat psychomotor agitation in this patient is also reported.
Bugedo
G
G
Departamento de Anestesiología, Hospital Clínico de la Pontificia Universidad Católica de Chile, Santiago de Chile.
Valenzuela
J
J
Muñoz
H
H
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008582:Meningitis, Aseptic / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000209:etiology*; D008874:Midazolam / Q000627:therapeutic use; D011247:Pregnancy; D011595:Psychomotor Agitation / Q000188:drug therapy; D013129:Spinal Puncture
D008874:Midazolam
Meningitis aséptica pos anestesia espinal. Caso clínico.