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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2021  |  Volume : 11  |  Issue : 1  |  Page : 39-42

Bilateral subdural effusions and brainstem sagging following labor epidural—Case report and literature review

Nevill Hall Hospital, Aneurin Bevan University Health Board, Abergavenny, Wales

Correspondence Address:
Dr. Joanna M Krawczyk
Department of Anaesthetics, Royal Gwent Hospital, Cardiff Rd, Newport NP20 2UB
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joacc.JOACC_98_20

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Epidural analgesia is a technique commonly used in labor. Intracranial subdural hygromas are a rare complication of neuraxial techniques and have only been reported in a handful of patients. We report a case of a female with postpartum headache, presenting 5 days after delivery where epidural analgesia was used, who was found to have bilateral subdural effusions and brainstem sagging. Our literature review summarizes pathophysiology, imaging, and approach to treatment, as well as guidance on long-term outcomes and follow-up needed in this patient population.

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