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Hematoma subdural como complicación de analgesia epidural de parto. A propósito de dos casos

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Las hemorragias intracraneales son una complicación infrecuente pero potencialmente grave tras la punción dural asociada a anestesia neuroaxial. Las consecuencias pueden ser catastróficas, especialmente cuando hablamos de anestesia neuroaxial obstétrica en mujeres jóvenes y sanas. El diagnóstico puede ser difícil por la similitud de síntomas con la cefalea postpunción dural (CPPD), que es la complicación más frecuente tras una punción dural. Este trabajo tiene como objetivo, aumentar la conciencia de los profesionales ante la posibilidad de ocurrencia de este tipo de complicaciones ante una punción dural accidental.  ABSTRACT Intracranial hemorrhages are a rare but potentially serious complication following dural puncture associated with neuraxial anesthesia. The consequences can be catastrophic, especially when we talk about neuraxial obstetric anesthesia in young and healthy women. Dagnosis may be difficult due to the similarity of symptoms between these and post-dural puncture headache, which is the most frequent complication after a dural puncture. This work aims to increase the awareness of professionals for the possibility of occurrence of this type of complications when an accidental dural puncture has occured.
Title: Hematoma subdural como complicación de analgesia epidural de parto. A propósito de dos casos
Description:
Las hemorragias intracraneales son una complicación infrecuente pero potencialmente grave tras la punción dural asociada a anestesia neuroaxial.
Las consecuencias pueden ser catastróficas, especialmente cuando hablamos de anestesia neuroaxial obstétrica en mujeres jóvenes y sanas.
El diagnóstico puede ser difícil por la similitud de síntomas con la cefalea postpunción dural (CPPD), que es la complicación más frecuente tras una punción dural.
Este trabajo tiene como objetivo, aumentar la conciencia de los profesionales ante la posibilidad de ocurrencia de este tipo de complicaciones ante una punción dural accidental.
  ABSTRACT Intracranial hemorrhages are a rare but potentially serious complication following dural puncture associated with neuraxial anesthesia.
The consequences can be catastrophic, especially when we talk about neuraxial obstetric anesthesia in young and healthy women.
Dagnosis may be difficult due to the similarity of symptoms between these and post-dural puncture headache, which is the most frequent complication after a dural puncture.
This work aims to increase the awareness of professionals for the possibility of occurrence of this type of complications when an accidental dural puncture has occured.

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