Thunderclap Headache Caused by an Inadvertent Epidural Puncture During Oxygen-ozone Therapy for Patient with Cervical Disc Herniation  

作　　者：Hui Liu Yong Wang Jian-Xiong An John P Williams Doris K Cope 

机构地区：[1]Department of Anesthesiology, Weifang Medical University, Weifang, Shandong 261000, China [2]Department of Anesthesiology, Pain Medicine and Criticai Care Medicine, Aviation General HosPital of China Medical University and Beijing Institute of Translational Medicine, Chinese Academy of Sciences, Beijing 100012, China [3]Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA

出　　处：《Chinese Medical Journal》2016年第4期498-499,共2页中华医学杂志（英文版）

摘　　要：To the Editor： A 54-year-old woman with no significant history of a headache or hypertension underwent epidural oxygen-ozone injection at a concentration of 30ug/ml （3 ml） for cervical disc herniation at cervical vertebra （C6-C7） level. Throughout the procedure, the routine monitorings of blood pressure, heart rate, and blood oxygen saturation were perfomled. One minute following the end of the injection, tile patient developed a high-intensity headache mimicking symptoms of a ruptured cerebral aneurysm. The patient described the location of a headache as present in the l^ontoparietal and occipital areas accompanied by nausea and vomiting. The presumptive diagnosis of inadvertent epidural puncture was made. The patient was immediately treated oxygen therapy and bed rest. Monitoring showed vital signs of blood pressure （149/83 mmHg）, heart rate （86 beats/min）, pulse oxygen saturation （SpO2, 96%）, blood sugar （6.3 mmol/L）, and body temperature （36.6℃）. Subsequently, metoclopramide 10 mg and midazolam 1 mg were injected intravenously.To the Editor： A 54-year-old woman with no significant history of a headache or hypertension underwent epidural oxygen-ozone injection at a concentration of 30ug/ml （3 ml） for cervical disc herniation at cervical vertebra （C6-C7） level. Throughout the procedure, the routine monitorings of blood pressure, heart rate, and blood oxygen saturation were perfomled. One minute following the end of the injection, tile patient developed a high-intensity headache mimicking symptoms of a ruptured cerebral aneurysm. The patient described the location of a headache as present in the l^ontoparietal and occipital areas accompanied by nausea and vomiting. The presumptive diagnosis of inadvertent epidural puncture was made. The patient was immediately treated oxygen therapy and bed rest. Monitoring showed vital signs of blood pressure （149/83 mmHg）, heart rate （86 beats/min）, pulse oxygen saturation （SpO2, 96%）, blood sugar （6.3 mmol/L）, and body temperature （36.6℃）. Subsequently, metoclopramide 10 mg and midazolam 1 mg were injected intravenously.

分 类 号：S858.292[农业科学—临床兽医学] X831[农业科学—兽医学]