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Case report| Volume 5, ISSUE 1, P43-46, January 1996

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Unexpected postpartum seizures associated with post-dural puncture headache treated with caffeine

DOI:https://doi.org/10.1016/S0959-289X(96)80073-2
Unexpected postpartum seizures associated with post-dural puncture headache treated with caffeine
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      Abstract

      This report describes a case of isolated postpartum seizures, in an apparently healthy woman who had suffered an accidental dural puncture during epidural analgesia for labour, and was on caffeine for relief of post-dural puncture headache. Investigation failed to determine the aetiology of the seizures. The possible contribution of dural puncture and caffeine toxicity are discussed.
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      References

        • Miles J.F
        • Martin J.N
        • Blake P.G
        • Perry K.G
        • Martin R.W
        • Meeks G.R
        Postpartum eclampsia: a recurring perinatal dilemma.
        Obstet Gynecol. 1990; 76: 328-331
        • Sibai B.M
        • Schneider J.M
        • Morrison J.C
        • et al.
        The late postpartum eclampsia controversy.
        Obstet Gynecol. 1980; 55: 74-78
        • Brownridge P
        Spinal anaesthesia revisited: an evaluation of subarachnoid block in obstetrics.
        Anaesth Intensive Care. 1984; 12: 334-342
        • Ariola S.E
        • Russo T.O
        • Marx G.F
        Postdural puncture headache or incipient eclampsia.
        International Journal of Obstetric Anesthesia. 1991; 1: 33-34
        • Edelman J.D
        • Wingard D.W
        Subdural hematomas after lumbar dural puncture.
        Anesthesiology. 1980; 52: 166-167
        • Bolton V.E
        • Leicht C.H
        • Scanlon T.S
        Postpartum seizure after epidural blood patch and intravenous caffeine sodium benzoate.
        Anesthesiology. 1989; 70: 146-149
        • Shearer V.E
        • Cunningham G
        • Wallace D.H
        • Giesecke A.H
        Seizures following post dural puncture headache in postpartum women: a series with suggested etiology (abstract).
        Anesthesiology. 1991; 75: A851
        • Vadhera R
        • Suresh M
        • Gayathri Y
        • Alvarado M
        • Belfort M
        • Cruz A
        The relation of cerebral blood flow to post dural puncture headache (abstract).
        Anesthesiology. 1994; 81: A1168
        • Holder H.G
        Reactions after spinal anesthesia.
        JAMA. 1944; 124: 56-57
        • Sechzer P.H
        • Abel L
        Post-spinal anesthesia headache treated with caffeine. I. Evaluation with demand method.
        Current Therapeutic Research. 1978; 24: 307-312
        • Harrington T.M
        An alternative treatment for spinal headache.
        J Fam Pract. 1982; 15: 172-177

      12. Jarvis A P, Greenwalt J W, Fagraeus L. Intravenous caffeine for postdural puncture headache (letter). Anesth Analg 1986; 65: 316–317.

        • Baumgarten R.K
        Should caffeine become the first-line treatment for post-dural puncture headache?.
        Anesth Analg. 1987; 67 (letter): 913-914
        • Stride P.C
        • Cooper G.M
        Dural taps revisited.
        Anaesthesia. 1993; 48: 247-255
        • Lang S.A
        • Yip R.W
        • Comfort V.K
        Intravenous caffeine as a treatment for post-dural puncture headaches: will it replace the epidural blood patch?.
        Anesth Analg. 1993; 76 (abstract): S207
        • Camann W.R
        • Murray R.S
        • Mushlin P.S
        • Lambert D.H
        Effects of oral caffeine on post-dural puncture headache.
        Anesth Analg. 1990; 70: 181-184
        • Strelec S
        • Prylinski J
        • Sakert T
        • Royal M
        The efficacy of multi-dose oral caffeine in prevention of post-dural puncture headache (abstract).
        Reg Anesth. 1994; 19: 79
        • Ilioff G
        • Strelec S.R
        • Rothfus W
        • Teeple E
        Does prophylactic intramuscular caffeine sodium benzoate decrease incidence of post-dural puncture headache?.
        Reg Anesth. 1990; 15 (abstract) (S): 15
        • Curatolo P.W
        • Robertson D
        The health consequences of caffeine.
        Ann Intern Med. 1983; 98: 641-653
        • Marangos P.J
        • Martino A.M
        • Raul S.M
        • Skolnick R
        The benzodiazepines and inosine antagonise caffeine-induced seizures.
        Psychopharmacology. 1981; 72: 269-273
        • Seale T.W
        • Carney J.M
        • Rennert O.M
        • Flux M
        • Skolnick P
        Coincidence of seizure susceptibility to caffeine and to the benzodiazepine inverse agonist, DMCM, in SWR and CBA-inbred mice.
        Pharmacol Biochem Behav. 1987; 26: 381-387
        • Inano S
        Effects of agonists and antagonists of benzodiazepine, GABA and NMDA receptors, on caffeineinduced seizures in mice.
        Yakubustu, Seishin, Kodo. 1992; 12: 199-205
        • Davis J.M
        • Metrakos K
        • Aranda J.V
        Apnoea and seizures.
        Arch Dis Child. 1986; 61: 791-806
        • Mueller S.M
        • Solow E.B
        Seizures associated with a new combination ‘pick-me-up’ pill.
        Ann Neurol. 1982; 11: 322
        • Cohen S.M
        • Laurito C.E
        • Curran M.J
        Grand-mal seizure in a postpartum patient following intravenous infusion of caffeine sodium benzoate to treat persistent headache.
        J Clin Anesth. 1992; 4: 48-51
        • Aldridge A
        • Bailey J
        • Neims A.H
        The disposition of caffeine during and after pregnancy.
        Semin Perinatol. 1981; 5: 310-314
        • MacArthur C
        • Lewis M
        • Knox E.G
        Accidental dural puncture in obstetric patients and long term symptoms.
        BMJ. 1993; 306: 883-885
        • Reynolds F
        Dural puncture and headache. Avoid the first but treat the second.
        BMJ. 1993; 306: 874-876
        • Dunbar S.A
        • Katz N.E
        Failure of delayed epidural blood patching to correct persistent cranial nerve palsies.
        Anesth Analg. 1994; 79: 806-807

      Article info

      Identification

      DOI: https://doi.org/10.1016/S0959-289X(96)80073-2

      Copyright

      © 1996 Published by Elsevier Inc.

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