Tonic-clonic seizure after unrecognized unintentional dural puncture.

Journal Article

Patients who suffer an unintentional dural puncture have a high risk of developing a post-dural puncture headache. Other neurologic complications have been reported, but seizure is rarely seen. We present a case of a 21-year-old primigravida who experienced an unrecognized unintentional dural puncture that ultimately resulted in a tonic-clonic seizure from intracranial hypotension one week following the dural breach. Her trachea was intubated and she was transferred to the intensive care unit. Two epidural blood patches, performed by neuroradiologists, were needed before the patient experienced complete resolution of her headache. During the re-admission, she also experienced a pulmonary embolus which further lengthened her hospital stay.

Full Text

Duke Authors

Cited Authors

  • Taylor, CR; Mehdiratta, JE; Yurashevich, M; Dominguez, JE; Habib, AS

Published Date

  • November 2020

Published In

Volume / Issue

  • 44 /

Start / End Page

  • 77 - 80

PubMed ID

  • 32810652

Electronic International Standard Serial Number (EISSN)

  • 1532-3374

Digital Object Identifier (DOI)

  • 10.1016/j.ijoa.2020.07.010


  • eng

Conference Location

  • Netherlands