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KMID : 1155520130080010055
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Anesthesia and Pain Medicine
2013 Volume.8 No. 1 p.55 ~ p.58
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Intracerebral hemorrhage after inadvertent dural puncture and cesarean section under general anesthesia -A case report-
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Lee Su-Yeon
Kim Su-Yeon
Kim Min-Young
Park Seo-Min
Bang Yun-Sic
Lee Hyun-Sook
Kang Yong-In
Bang Eun-Chi
Cho Kyung-Sook
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Abstract
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Epidural analgesia is frequently used for control of labor pain. Seizure of parturient could be misdiagnosed as eclampsia. A parturient presented a generalized tonic clonic seizure during first stage of labor in two and a half hour after dural puncture and epidural blood patch. She had received an emergency cesarean section under general anesthesia and had another seizure during transfer to the intensive care unit. A brain computed tomography showed intracerebral hemorrhage and pneumocephalus. After conservative treatment, she could discharge without any sequelae in 13 days. The anesthesiologists should be aware of the possibility of intracerebral hemorrhage when they confront a seizure of parturient although there is no evidence of relation between dural puncture and intracerebral hemorrhage.
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KEYWORD
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Dural puncture, Epidural analgesia, Intracerebral hemorrhage, Pneumocephalus
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