Recurrent post-partum seizures after epidural blood patch.
There are many causes for headaches after childbirth. Even though postdural puncture headache (PDPH) has to be considered in a woman with a history of difficult epidural anaesthesia, pre-eclampsia should always be excluded as an important differential diagnosis. We report a case with signs of late-onset pre-eclampsia where administration of an epidural blood patch (EBP) was associated with eclampsia. A hypothetical causal relationship between the EBP and seizures was discarded on the basis of evidence presented in this report.
Marfurt
D
D
Department of Anaesthesia, University Hospital/Kantonsspital Basel, Switzerland.
Lyrer
P
P
Rüttimann
U
U
Strebel
S
S
Schneider
M C
MC
D000328:Adult; D000767:Anesthesia, Epidural / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000379:methods; D017217:Blood Patch, Epidural / Q000009:adverse effects*; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D011225:Pre-Eclampsia / Q000209:etiology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology*; D012008:Recurrence; D012640:Seizures / Q000209:etiology*