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KMID : 0363120120250040262
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Korean Journal of Pain
2012 Volume.25 No. 4 p.262 ~ p.266
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Pneumocephalus in a Patient with No Cerebrospinal Fluid Leakage after Lumbar Epidural Block - A Case Report -
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Kim Yeon-Dong
Lee Jae-Hun
Cheong Yong-Kwan
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Abstract
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Several complications are possible after a lumbar epidural block. However pneumocephalus are rare. In this case, we report a case of pneumocephalus. A 68-year-old male patient received lumbar epidural block with the loss of resistance technique using air, and after 35 minutes, apnea, unconsciousness, hypotension, and bradycardia occurred. Immediately, brain CT was done, and we found pneumocephalus. The patient complained of severe occipital headache and itchiness due to pneumocehalus. After conservative treatment, the patient recovered without neurologic complications, and on the seventh day of his hospitalization, he was discharged from the hospital.
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KEYWORD
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complication, epidural block, pneumocephalus, unconsciousness
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