Cranial and Spinal Subdural Hygroma Following Lumbar Epidural for Labour Analgesia

Authors

  • Elizabeth Thompson Anaesthetic Registrar, Department of Anaesthetic, University of Hospitals Plymouth NHS Trust, Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH, UK
  • Nicholas Haden Consultant Neurosurgeon, Department of Anaesthetic, University of Hospitals Plymouth NHS Trust, Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH, UK
  • David Hutchins Anaesthetic Registrar, Department of Anaesthetic, University of Hospitals Plymouth NHS Trust, Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH, UK

DOI:

https://doi.org/10.17140/RPAOJ-4-121

Keywords:

Subdural hygroma, Epidural, Dural puncture

Abstract

Intracranial hygroma is a rare and probably missed complication of epidural analgesia secondary to accidental dural breech. The patient presented had a presumed spinal cerebrospinal fluid leak with symptoms of intracranial hypotension. Unusually the patient had both an intracranial subdural hygroma and rarely reported extensive spinal intradural (extra-arachnoid) collection following a lumbar epidural, administered in labour. Given the potential for progression to symptomatic neurological deficits, anesthetists should consider subdural hygroma when encountering patients with features of intracranial hypotension, or altered neurology following epidural. Pathophysiology, imaging and management are discussed.

References

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Published

2018-11-27

How to Cite

Elizabeth Thompson, Nicholas Haden, & David Hutchins. (2018). Cranial and Spinal Subdural Hygroma Following Lumbar Epidural for Labour Analgesia. Research and Practice in Anesthesiology, 4(1), 1–3. https://doi.org/10.17140/RPAOJ-4-121

Issue

Vol. 4 No. 1 (2019): Volume 4 Issue 1 2019

Section

Articles

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All content published in Research and Practice in Anesthesiology (RPA) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.