Extra-axial haemorrhage in a patient with Alport syndrome after epidural anaesthesia

xlomafota13 shared this article with you from Inoreader Extra-axial haemorrhage in a patient with Alport syndrome after epidural anaesthesia Via leak of cerebrospinal fluid BMJ Case Rep. 2021 Jun 3;14(6):e242160. doi: 10.1136/bcr-2021-242160. ABSTRACT Extra-axial haemorrhage following epidural anaesthesia is extremely rare. We present the case of an 18-year-old G1P0 woman with Alport syndrome who had a ventouse delivery for failure to progress that was complicated by a postpartum tonic-clonic seizure. Clinically, and confirmed radiologically, the patient was found to have experienced an extra-axial haemorrhage (extradural and subdural haemorrhage) secondary to a cerebrospinal fluid leak caused by a dural puncture during epidural anaesthesia. Differentiating between postdural puncture headache, subdural haemorrhage and extradural haemorrhage can be extremely challenging, but it is important to consider these rare conditions when evaluating patients presenting with postpartum headache and seizure. PMID:34083183 | DOI:10.1136/bcr-2021-242160 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.