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British Journal of Anaesthesia, 2003, Vol. 90, No. 2 247-250
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Recurrent post-partum seizures after epidural blood patch

D. Marfurt1, P. Lyrer2, U. Rüttimann1, S. Strebel1 and M. C. Schneider*,1

1 Department of Anaesthesia and 2 Department of Neurology, University Hospital/Kantonsspital Basel, Switzerland

Corresponding author: Department of Anaesthesia, University Women’s Hospital, Schanzenstrasse 46, CH-4031 Basel, Switzerland. E-mail: mschneider@uhbs.ch

There are many causes for headaches after childbirth. Even though postdural puncture headache (PDPH) has to be considered in a woman with a history of difficult epidural anaesthesia, pre-eclampsia should always be excluded as an important differential diagnosis. We report a case with signs of late-onset pre-eclampsia where administration of an epidural blood patch (EBP) was associated with eclampsia. A hypothetical causal relationship between the EBP and seizures was discarded on the basis of evidence presented in this report.

Br J Anaesth 2003; 90: 247–50


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