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 Headache and seizures after cervical epidural injection in a patient undergoing coronary artery bypass grafting

Dheeraj Arora, Yatin Mehta, Aashish Jain, Naresh Trehan
Medanta Institute of Critical Care and Anaesthesiology & Medanta Heart Institute, Medanta-The Medicity, Gurgaon, Haryana, India

Correspondence Address:
Yatin Mehta
Medanta Institute of Critical Care and Anaesthesiology, Medanta-The Medicity, Gurgaon, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.97983

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Year : 2012  |  Volume : 15  |  Issue : 3  |  Page : 244-246

 
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Epidural analgesia is widely used in cardiothoracic surgery. Most of the complications associated with epidural analgesia are related to the insertion techniques of epidural catheter. A 68-year-old obese patient posted for coronary artery bypass grafting surgery developed headache followed by seizures after insertion of the thoracic epidural catheter. Magnetic resonance imaging revealed air in the basal cisterns and in the left frontal region. The patient was managed conservatively and the symptoms subsided after 24 h. Later, the patient underwent coronary angioplasty.






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  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008

 

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Dheeraj Arora, Yatin Mehta, Aashish Jain, Naresh Trehan
Medanta Institute of Critical Care and Anaesthesiology & Medanta Heart Institute, Medanta-The Medicity, Gurgaon, Haryana, India

Correspondence Address:
Yatin Mehta
Medanta Institute of Critical Care and Anaesthesiology, Medanta-The Medicity, Gurgaon, Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.97983

Rights and Permissions

Epidural analgesia is widely used in cardiothoracic surgery. Most of the complications associated with epidural analgesia are related to the insertion techniques of epidural catheter. A 68-year-old obese patient posted for coronary artery bypass grafting surgery developed headache followed by seizures after insertion of the thoracic epidural catheter. Magnetic resonance imaging revealed air in the basal cisterns and in the left frontal region. The patient was managed conservatively and the symptoms subsided after 24 h. Later, the patient underwent coronary angioplasty.






[FULL TEXT] [PDF]*


        
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  Sitemap | Feedback | Disclaimer | What's New |  
  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008