It's not always postdural puncture headache: a case report and note to the astute anesthesiologist
Braz. J. Anesth. (Impr.)
;
73(1): 108-111, Jan.-Feb. 2023. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-1420638
ABSTRACT
Abstract Dural puncture is either diagnosed by unexpectedly profound response to medication test dose or development of a postpartum postural headache. Epidural blood patch is the gold standard for treatment of PDPH when conservative management fails. However, postpartum headaches can be resistant to multiple epidural blood patches. In such cases, preexisting intracranial processes should be considered and ruled out. We report here the unique case of a pregnant patient who developed a resistant headache in the postpartum period related to an incidental intracranial aneurysm. Subsequent treatment with endovascular embolization adequately relieved her symptoms. Early surgical consultation and a multidisciplinary team approach involving neurology and neuroimaging is required for successful management of patients such as the one described here.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Cefalea Pospunción de la Duramadre
Tipo de estudio:
Estudio de etiología
Límite:
Femenino
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Braz. J. Anesth. (Impr.)
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
Estados Unidos
Institución/País de afiliación:
Metropolitan Medical Center/US
/
University of Texas Medical Branch at Galveston/US
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