Pneumocephalus after spinal anesthesia |
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Authors: | Dépret T Le Falher G Delecroix M Brasdefer D Krivosic-Horber R |
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Institution: | Département d'anesthésie-réanimation chirurgicale I, h?pital R. Salengro, CHRU, 59037 Lille, France. |
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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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