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Fatal bilateral subdural haematoma after epidural anaesthesia for pregnancy
CSF leak after epidural anaesthesia should be suspected after persistent headaches, which are worse on standing, suggestive of low pressure and CSF overdrainage. Subdural haemorrhage after CSF leak is a recognised complication; if suspected a CT Brain should be performed. An epidural blood-patch, and if necessary haematoma evacuation, can help prevent an unfortunate and tragic outcome.
CSF leak after epidural anaesthesia should be suspected after persistent headaches, which are worse on standing, suggestive of low pressure and CSF overdrainage. Subdural haemorrhage after CSF leak is a recognised complication; if suspected a CT Brain should be performed. An epidural blood-patch, and if necessary haematoma evacuation, can help prevent an unfortunate and tragic outcome.
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