Recurrent post‐partum seizures after epidural blood patch

Marfurt, D. ; Lyrer, P. ; Rüttimann, U. ; Strebel, S. ; Schneider, M. C.

In: British Journal of Anaesthesia, 2003, vol. 90, no. 2, p. 247-250

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    Summary
    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. Br J Anaesth 2003; 90: 247-50