Persistent headache in a postpartum patient: the investigation and management
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Postdural puncture headache (PDPH) is the most common complication of obstetric regional anaesthesia and the most likely cause of headache in a woman who underwent epidural anaesthesia during delivery. Cerebral venous sinus thrombosis (CVST) is an uncommon cause of postpartum headache. Anaesthesia in obstetrics may lead to long-lasting intracranial hypotension resulting in CVST. CVST is a serious pathology with high mortality if misdiagnosed, but its correct and rapid diagnosis offers the opportunity for early treatment. Cranial magnetic resonance imaging (MRI) is an important modality in the diagnosis of both CVST and intracranial hypotension. The latter condition may be treated either by an epidural blood patch or bed rest and hydration. We report a case of a 36-year-old woman who developed CVST and multiple venous infarcts after an attempted epidural procedure during delivery. She was treated conservatively with bed rest, hydration and low-molecular-weight heparin and the patient recovered completely. Copyright 2013 BMJ Publishing Group. All rights reserved.
Açıklama
Anahtar Kelimeler
acetylsalicylic acid, carbamazepine, enoxaparin, low molecular weight heparin, muscle relaxant agent, thiocolchicoside, adult, article, bed rest, brain infarction, case report, cerebral venous sinus thrombosis, cesarean section, conservative treatment, contrast enhancement, diffusion weighted imaging, disease course, epidural anesthesia, epidural catheter, female, general anesthesia, headache, human, hydration, intracranial hypotension, multiple venous infarction, nuclear magnetic resonance imaging, oral rehydration therapy, parietal lobe, postdural puncture headache, priority journal, puerperium, sagittal sinus thrombosis, temporal lobe, tonic seizure, treatment failure, treatment outcome
Kaynak
BMJ Case Reports
WoS Q Değeri
Scopus Q Değeri
Q3
