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KMID : 0356920080540020217
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Korean Journal of Anesthesiology
2008 Volume.54 No. 2 p.217 ~ p.219
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Irrelevant Intracerebral Hemorrhage after Cesarean Section under Combined Spinal-epidural Anesthesia
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Kim Jun-Hyeon
Choi Won-Joo
Lee Sang-Ill
Kim Ji-Yeon
Kim Kyoung-Tea
Park Jang-Su
Kim Jeong-Won
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Abstract
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Although there are no verified relationship between ICH and spinal anesthesia, there has been a few articles that report ICH after spinal anesthesia.We report a parturient with postpartum headache, nausea and vomiting which were diagnosed as symptoms of intracerebral hemorrhage, later.She had received a cesarean section under the spinal anesthesia, and developed a light headache, nausea, and vomiting at the ninth hour after the operation.She presented a generalized tonic seizure two hours later, and had other seizure on the day after operation.A brain computed tomography was performed and it revealed an intracerebral hemorrhage. She discharged 16 days after the surgery, without any sequelae.Parturients are prone to develop PDPH after spinal anesthesia, and other diseases with symptoms of headache, nausea, and vomiting may be misdiagnosed as PDPH.A cautious diagnosis should be made when one confronts a headache after spinal anesthesia, especially with a parturient.
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KEYWORD
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combined spinal-epidural, intracerebral hemorrhage, post dural puncture headache, pregnancy, spinal anesthesia
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