Hoang Van Trung, Hoang The Huan, Nguyen Thanh Tam Thi, Chansomphou Vichit, Hoang Duc Thanh
Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.
Department of Radiology, FV Hospital, Ho Chi Minh City, Vietnam.
Case Rep Obstet Gynecol. 2022 Jun 23;2022:3097949. doi: 10.1155/2022/3097949. eCollection 2022.
Pituitary apoplexy can occur postpartum, and subdural hematoma following epidural anesthesia is a rare complication. Cooccurrence of these two complications is extremely rare and has not been previously reported in the literature. In this article, we present a case of pituitary apoplexy along with intracranial subdural hematoma happening two days after spinal anesthesia for cesarean section. The patient presented with peripheral facial nerve paralysis accompanied by headache, eye pain, and blurred vision and was diagnosed by imaging modalities. The patient made a good recovery with conservative treatment without serious health events.
垂体卒中可发生在产后,硬膜外麻醉后发生硬膜下血肿是一种罕见的并发症。这两种并发症同时出现极为罕见,此前文献中尚无报道。在本文中,我们报告了一例剖宫产脊髓麻醉后两天发生垂体卒中并伴有颅内硬膜下血肿的病例。患者出现周围性面神经麻痹,并伴有头痛、眼痛和视力模糊,通过影像学检查确诊。患者经保守治疗后恢复良好,未发生严重健康事件。