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Revista Cubana de Medicina
versão On-line ISSN 1561-302X
Resumo
RAMIREZ GONZALEZ, Alberto Dariel; RICARDO COLOMAR, Grisel e PLAZA, Iliovanys Betancourt. Pneumocephalus as a Complication of Regional Epidural Block Due to Lumbosacral Radiculopathy. Rev. Cuban de Med [online]. 2023, vol.62, n.4 Epub 15-Mar-2024. ISSN 1561-302X.
Introduction:
Pneumocephalus (synonym: aerocele or intracerebral pneumatocele), is defined as the presence of gas within any of the intracranial compartments (intraventricular, intraparenchymal, subarachnoid, subdural and epidural).
Objective:
To describe the clinical findings, complementary studies, therapeutic conduct and evolution of a case with pneumocephalus as a complication of regional epidural block due to lumbosacral radiculopathy
Case presentation:
A 57-year-old male patient was presented who began with a sudden episode of disorientation, psychomotor excitability and tonic-clonic seizures, following an epidural injection of methylprednisolone as an analgesic method.
Conclusions:
The case presented exhibited non-specific neurological manifestations, the sudden appearance after the invasive procedure raised suspicion of an acute neurological event or thromboembolic phenomenon. Complementary studies such as simple cranial computed axial tomography, allowed its diagnosis to have a consistent conduct. The conservative management of pneumocephalus as a complication of the use of epidural anesthesia constituted an effective therapeutic approach and had an impact on the patient's satisfactory evolution.
Palavras-chave : pneumocephalus; headache; epidural; computed axial tomography.