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Recurrent post-partum seizures after epidural blood patch

D Marfurt1, P Lyrer, U Rüttimann

  • 1Department of Anaesthesia, University Hospital/Kantonsspital Basel, Switzerland.

British Journal of Anaesthesia
|January 23, 2003
PubMed

There are many causes for headaches after childbirth. Even though postdural puncture headache (PDPH) has to be considered in a woman with a history of difficult epidural anaesthesia, pre-eclampsia should always be excluded as an important differential diagnosis. We report a case with signs of late-onset pre-eclampsia where administration of an epidural blood patch (EBP) was associated with eclampsia. A hypothetical causal relationship between the EBP and seizures was discarded on the basis of evidence presented in this report.

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