A Case of Altered Mental Status and Severe Frontal Headaches inPatient with Imaging Confirmed Pneumocephalus and a Reviewof Previous Cases

Authors

  • Mathew Sacino MedStar Georgetown University Hospital, Washington DC, USA Author
  • Kathleen Sheridan Lubinsky MedStar Georgetown University Hospital, Washington DC, USA Author
  • Elizabeth Holton MedStar Georgetown University Hospital, Washington DC, USA Author
  • Meredith Coppinger MedStar Georgetown University Hospital, Washington DC, USA Author
  • Graham Lubinsky MedStar Georgetown University Hospital, Washington DC, USA Author
  • Ramon Go MedStar Georgetown University Hospital, Washington DC, USA Author

Keywords:

Pneumocephalus, Obstetric, Epidural, Spinal

Abstract

Neuraxial anesthetic technique is a common and safe method of providing labor analgesia and anesthesia for cesarean section (CS). Pneumocephalus (PC) is a known rare complication from neuraxial anesthesia. Here we present a case of a high risk parturient for planned CS via spinal anesthesia with catheter technique who experienced altered mental status (AMS) and severe headaches due to PC confirmed by head computed tomography (CT). Additionally, we review and discuss the body of literature of pneumocephalus resulting from neuraxial technique. 

Author Biographies

  • Mathew Sacino, MedStar Georgetown University Hospital, Washington DC, USA

    MedStar Georgetown University Hospital, Washington DC, USA

  • Kathleen Sheridan Lubinsky, MedStar Georgetown University Hospital, Washington DC, USA

    MedStar Georgetown University Hospital, Washington DC, USA

  • Elizabeth Holton, MedStar Georgetown University Hospital, Washington DC, USA

    MedStar Georgetown University Hospital, Washington DC, USA

  • Meredith Coppinger, MedStar Georgetown University Hospital, Washington DC, USA

    MedStar Georgetown University Hospital, Washington DC, USA 

  • Graham Lubinsky, MedStar Georgetown University Hospital, Washington DC, USA

    MedStar Georgetown University Hospital, Washington DC, USA 

  • Ramon Go, MedStar Georgetown University Hospital, Washington DC, USA

    MedStar Georgetown University Hospital, Washington DC, USA

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Published

2020-11-26