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Pneumocephalus after labor epidural anesthesia
Neumocéfalo después de la anestesia epidural del parto
Marta González-Pombo
, Marta Ordoñez-Carmona
Corresponding author
Neurosurgery Department, Hospital Universitario Virgen del Rocio, Sevilla, Spain
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"rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Pneumocephalus has been described as an infrequent complication of epidural analgesia that can occur after accidental injection of air into the subarachnoid space when using the loss of resistance technique. It typically manifests as a sudden, severe headache (thunderclap headache).</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our young patient developed a severe headache 4 days after a eutocic delivery under epidural analgesia, during which an accidental dural puncture occurred. Despite this, the patient did not experience the typical thunderclap headache during the procedure. Given the suspicion of a secondary headache, an urgent head CT scan was performed that revealed the presence of localized air in both temporal horns and in the third ventricle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The volume of air was insignificant, so a conservative approach was taken. At follow-up 2 weeks later, the patient had made good progress and was asymptomatic.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: González-Pombo M, Ordoñez-Carmona M. Neumoencéfalo después de la anestesia epidural del parto. Rev Esp Anestesiol Reanim. 2021;68:242.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1387 "Ancho" => 1250 "Tamanyo" => 141392 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure 1." 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