Eede H Vanden, Hoffmann V L H, Vercauteren M P
Department of Anaesthesia, University Hospital Antwerp, Edegem, Belgium.
Acta Anaesthesiol Scand. 2007 Jul;51(6):763-5. doi: 10.1111/j.1399-6576.2007.01331.x.
We report a parturient complaining of headache after spinal and epidural labour analgesia with neurological deterioration following an epidural blood patch. Further investigation revealed a medulloblastoma within the fourth ventricle. The patient underwent an operation 4 days after the diagnosis, but died 2 years later. The consequences of the use of neuraxial analgesia and epidural blood patch in the treatment of post-dural puncture headache in this kind of pathology are discussed.
我们报告一例产妇，在脊髓和硬膜外分娩镇痛后出现头痛，硬膜外血贴治疗后神经功能恶化。进一步检查发现第四脑室内有髓母细胞瘤。患者在诊断后4天接受了手术，但2年后死亡。本文讨论了在这种病理情况下使用椎管内镇痛和硬膜外血贴治疗硬膜外穿刺后头痛的后果。
