Inadvertent dural puncture during attempted thoracic epidural catheter placement complicated by cerebral and spinal subdural hematoma.
Minor complications of inadvertent dural puncture during attempted epidural anesthesia are common, related to the size of the needle and the incidence of postdural puncture headache. Serious complications are much less common. We report a case where inadvertent dural puncture with an 18-gauge epidural needle was associated with the creation of intracranial and spinal subdural hematoma.
Narouze
Samer N
SN
Department of Anesthesiology, Aultman Health Foundation, Canton, OH, USA.
Casanova
Jose
J
El-Jaberi
Mohammed
M
Farag
Ehab
E
Tetzlaff
John E
JE
D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D017217:Blood Patch, Epidural; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002404:Catheterization / Q000009:adverse effects*; D020202:Cerebral Hemorrhage, Traumatic / Q000150:complications*; D004388:Dura Mater / Q000293:injuries*; D005260:Female; D006261:Headache / Q000209:etiology / Q000628:therapy; D006408:Hematoma, Subdural / Q000150:complications*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D013124:Spinal Injuries / Q000150:complications*