Subdural air collection: a likely source of radicular pain after lumbar epidural

J Clin Anesth. 2001 Aug;13(5):392-7. doi: 10.1016/s0952-8180(01)00272-0.

Abstract

This case conference reports two cases of epidural anesthesia in which air was used to identify the epidural space during a loss-of-resistance placement technique. Both patients subsequently complained of severe pain and subdural air was demonstrated in case 1 by computed tomography and in case 2 by magnetic resonance imaging. The possible causes of the pain syndrome experienced by both patients are discussed.

Publication types

  • Case Reports
  • Clinical Conference

MeSH terms

  • Adult
  • Aged
  • Anesthesia, Epidural / adverse effects*
  • Anesthesia, Obstetrical / adverse effects*
  • Arthroplasty, Replacement, Hip
  • Female
  • Humans
  • Male
  • Oxygen / blood
  • Oxygen Consumption / physiology
  • Pain, Postoperative / diagnostic imaging
  • Pain, Postoperative / etiology*
  • Pregnancy
  • Reoperation
  • Subdural Space / diagnostic imaging
  • Subdural Space / physiology*
  • Tomography, X-Ray Computed

Substances

  • Oxygen