Post epidural puncture delirium resulting from pneumocephalus: An uncommon presenation

Abstract

A 50-year-old female came with a history of chronic lower back pain radiating to right leg for which she received an epidural steroid injection. Two hours later, she was found to in a delirious state with bilateral ptosis. Magnetic resonance imaging of the brain was suggestive of ventricular pneumocephalus in frontal and temporal horns of right lateral ventricles. She was managed conservatively with oxygen inhalation. Patient’s sensorium improved after 72 h.

Keywords

• epidural
• magnetic resonance imaging
• ventricular pneumocephalus