Differential Diagnosis of Postpartum Headache between Post-Dural Puncture Headache and Intracerebral Hemorrhage: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 727-730, 2006.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-66115
Biblioteca responsável:
WPRO
ABSTRACT
We report a patient with a postpartum headache, who was later diagnosed with an intra cerebral hemorrhage. She underwent a cesarean section under the combined spinal-epidural anesthesia, and complained of a suspicious post-dural puncture headache (PDPH) in the puerperium. The headache was partially improved with analgesics and she was discharged. The day after discharge, the headache became aggravated and she visited our labor floor for further treatment. An epidural blood patch (EBP) was performed because the headache regarded as aggravation of PDPH. However, hemiparesis and dysarthria developed 40 minutes after the EBP. Computed tomography was revealed an intracerebral hemorrhage in the right side basal ganglia. She was transferred to the neurosurgical intensive care unit. She was treated conservatively and has almost completely recovered. This case highlights the need to consider an intracranial hemorrhage, a cerebrovascular accident, nonspecific headache and PDPH when making a differential diagnosis of postpartum headache, particularly when an atypical postpartum headache is noted.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paresia
/
Gânglios da Base
/
Hemorragia Cerebral
/
Cesárea
/
Placa de Sangue Epidural
/
Acidente Vascular Cerebral
/
Hemorragias Intracranianas
/
Período Pós-Parto
/
Diagnóstico Diferencial
/
Disartria
Tipo de estudo:
Estudo diagnóstico
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2006
Tipo de documento:
Artigo