Tonic-clonic seizure after unrecognized unintentional dural puncture.
Publication
, Journal Article
Taylor, CR; Mehdiratta, JE; Yurashevich, M; Dominguez, JE; Habib, AS
Published in: Int J Obstet Anesth
November 2020
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.
Duke Scholars
Published In
Int J Obstet Anesth
DOI
EISSN
1532-3374
Publication Date
November 2020
Volume
44
Start / End Page
77 / 80
Location
Netherlands
Related Subject Headings
- Young Adult
- Spinal Puncture
- Seizures
- Pregnancy
- Post-Dural Puncture Headache
- Intracranial Hypotension
- Humans
- Female
- Blood Patch, Epidural
- Anesthesiology
Citation
APA
Chicago
ICMJE
MLA
NLM
Taylor, C. R., Mehdiratta, J. E., Yurashevich, M., Dominguez, J. E., & Habib, A. S. (2020). Tonic-clonic seizure after unrecognized unintentional dural puncture. Int J Obstet Anesth, 44, 77–80. https://doi.org/10.1016/j.ijoa.2020.07.010
Taylor, C. R., J. E. Mehdiratta, M. Yurashevich, J. E. Dominguez, and A. S. Habib. “Tonic-clonic seizure after unrecognized unintentional dural puncture.” Int J Obstet Anesth 44 (November 2020): 77–80. https://doi.org/10.1016/j.ijoa.2020.07.010.
Taylor CR, Mehdiratta JE, Yurashevich M, Dominguez JE, Habib AS. Tonic-clonic seizure after unrecognized unintentional dural puncture. Int J Obstet Anesth. 2020 Nov;44:77–80.
Taylor, C. R., et al. “Tonic-clonic seizure after unrecognized unintentional dural puncture.” Int J Obstet Anesth, vol. 44, Nov. 2020, pp. 77–80. Pubmed, doi:10.1016/j.ijoa.2020.07.010.
Taylor CR, Mehdiratta JE, Yurashevich M, Dominguez JE, Habib AS. Tonic-clonic seizure after unrecognized unintentional dural puncture. Int J Obstet Anesth. 2020 Nov;44:77–80.
Published In
Int J Obstet Anesth
DOI
EISSN
1532-3374
Publication Date
November 2020
Volume
44
Start / End Page
77 / 80
Location
Netherlands
Related Subject Headings
- Young Adult
- Spinal Puncture
- Seizures
- Pregnancy
- Post-Dural Puncture Headache
- Intracranial Hypotension
- Humans
- Female
- Blood Patch, Epidural
- Anesthesiology