Isolated cortical vein thrombosis after epidural anesthesia: report of three cases.
Cerebral venous thrombosis rarely develops after lumbar puncture and spinal anesthesia with accidental dural puncture, however, occurrence of isolated cortical vein thrombosis after epidural anesthesia is extremely rare. We report three cases who developed postural headache and isolated cortical vein thrombosis after epidural anesthesia. We postulate that intracranial hypotension is the cause of compensatory venous dilatation and resultant thrombosis.
Yildiz
Ozlem Kayim
OK
Department of Neurology, Cumhuriyet University Faculty of Medicine, 58140 Sivas, Turkey. ozlemkayim@yahoo.com
Balaban
Hatice
H
Cil
Gulsum
G
Oztoprak
Ibrahim
I
Bolayir
Ertugrul
E
Topaktas
Suat
S
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D001921:Brain / Q000098:blood supply / Q000473:pathology; D002550:Cerebral Veins / Q000473:pathology; D005260:Female; D006801:Humans; D020767:Intracranial Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D051299:Post-Dural Puncture Headache / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D055815:Young Adult