The diagnosis and treatment of a patient with puerperal infection and subdural hygromas.
We describe a patient readmitted after developing a persistent postural headache resulting from an accidental lumbar puncture during labor 10 days earlier. Magnetic resonance imaging demonstrated bifrontal subdural hygromas and diffuse pachymeningeal enhancement. The patient had signs of a puerperal infection, and an epidural patch was performed with dextran 40 instead of blood, after which gradual improvement was noted. The patient was discharged totally asymptomatic 3 days later.
Aragonès
Natàlia
N
Departments of *Anesthesiology and †Neurology, Girona, Catalonia, Spain.
Arxer
Antoni
A
Vieito
María
M
Ros
Josefina
J
Villalonga
Antonio
A
Ustrell
Xavier
X
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects; D016362:Analgesia, Obstetrical / Q000009:adverse effects; D017217:Blood Patch, Epidural; D005260:Female; D006261:Headache / Q000150:complications / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011645:Puerperal Infection / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D013129:Spinal Puncture / Q000009:adverse effects; D013353:Subdural Effusion / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*