Symptomatic Pneumocephalus as a Complication of Lumbar Epidural Anaesthesia

• Main Authors: Ana Filipa Pires, Teresa Martins Mendes, Ana Areia Reis, Ana Ferreira Pacheco, Vítor Fagundes, Mari Mesquita
• Format: Article
• Language: English
• Published: SMC MEDIA SRL 2020-01-01
• Series: European Journal of Case Reports in Internal Medicine
• Subjects: pneumocephalus; lumbar epidural anaesthesia; post-dural puncture headache
• Online Access: https://www.ejcrim.com/index.php/EJCRIM/article/view/1425

Introduction: Lumbar epidural anaesthesia is a commonly used technique for analgesia during labour. One of the rare complications of this technique is pneumocephalus. Case description: We report the case of a 35-year-old female admitted to the Emergency Department with severe headache associated with fast head movements. Five days previously she had a eutocic delivery and lumbar epidural anaesthesia was performed. A brain computed tomography (CT) scan showed pneumocephalus and she was admitted to the hospital ward. A brain CT scan on the fourth day of hospitalization showed resolution of ventricular pneumocephalus. Discussion: The most frequently occurring symptom with pneumocephalus is headache associated with fast brain motion resulting from air injection and meningeal irritation. When there is clinical suspicion of pneumocephalus, a brain CT scan should be performed for the diagnosis.