Diagnosing and managing peripartum headache.

نویسندگان

  • Erica N Grant
  • Jia Wang
  • Brian Gelpi
  • Alison Wortman
  • Weike Tao
چکیده

A 38-year-old gravida 7 para 5 Hispanic woman at 36 weeks and 4 days gestation presented with a postpartum headache following vaginal delivery complicated by an unintentional dural puncture for epidural analgesia. Due to the positional nature of the headache and its frontal and occipital origin, a postdural puncture headache was diagnosed. After failure of conservative treatment, an epidural blood patch was used, which offered immediate relief. However, shortly following the procedure, the parturient's neurological condition deteriorated due to an unrecognized intraparenchymal and subarachnoid hemorrhage requiring an emergent craniectomy. This case highlights the importance of diligence when evaluating and treating postpartum headache despite a classic presentation.

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عنوان ژورنال:
  • Proceedings

دوره 28 4  شماره 

صفحات  -

تاریخ انتشار 2015