Dépret T, Le Falher G, Delecroix M, Brasdefer D, Krivosic-Horber R. [Pneumocephalus after spinal anesthesia].
ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2002;
21:228-30. [PMID:
11963388 DOI:
10.1016/s0750-7658(02)00575-0]
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Abstract
We report the case of a 76-year-old man who received a spinal anaesthesia for inguinal hernia repair surgery. A cranial CT scan which was performed because the patient complained of postoperative headache and hemiparesis showed an important pneumocephalus. Because postoperative questioning revealed that the patient had a chronic and neglected rhinorrhea, we hypothesise that this pneumocephalus was secondary to an old unknown osteodural leak with intracranial air entry secondary to the spinal anaesthesia-releated decrease in CSF pressure.
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