The lumbar puncture, a basic clinical procedure, involves also important changes in the circulation of the liquor according to the Monro-Kellie law. The postural headache and the associated neurological disorders, mainly the abducens palsy, are quite similar to the clinical picture observed in the SIH (Spontaneous Intracranic Hipotension). The Author presents a casistic review of adverse effects, headache and neurological disorders, after lumbar puncture in the obstetric anesthesiology, and discusses the possible ethiological hypotheses, with particular regard to the CVT onset (Cerebral Venous Thrombosis) as a result of a lumbar puncture. Patients with headaches that is refractory to usual therapy and patients with neurological deficit require cerebral imaging.
CEFALEA DA PUNTURA LOMBARE, IPOTENSIONE LIQUORALE (S.I.H.) E TROMBOSI VENOSA CEREBRALE (C.V.T.) IN GRAVIDANZA. IPOTESI EZIOPATOGENETICHE A CONFRONTO
SCORRETTI, CARLO
2009-01-01
Abstract
The lumbar puncture, a basic clinical procedure, involves also important changes in the circulation of the liquor according to the Monro-Kellie law. The postural headache and the associated neurological disorders, mainly the abducens palsy, are quite similar to the clinical picture observed in the SIH (Spontaneous Intracranic Hipotension). The Author presents a casistic review of adverse effects, headache and neurological disorders, after lumbar puncture in the obstetric anesthesiology, and discusses the possible ethiological hypotheses, with particular regard to the CVT onset (Cerebral Venous Thrombosis) as a result of a lumbar puncture. Patients with headaches that is refractory to usual therapy and patients with neurological deficit require cerebral imaging.Pubblicazioni consigliate
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