oa Southern African Journal of Anaesthesia and Analgesia - Utility of neuroimaging in postpartum headache work-up : case report and diagnostic considerations : case study
|Article Title||Utility of neuroimaging in postpartum headache work-up : case report and diagnostic considerations : case study|
|© Publisher:||Medpharm Publications|
|Journal||Southern African Journal of Anaesthesia and Analgesia|
|Affiliations||1 Kasturba Medical College, India, 2 Kasturba Medical College, India, 3 Kasturba Medical College, India and 4 Amala Institute of Medical Sciences, India|
|Publication Date||Jan 2013|
|Pages||178 - 180|
|Keyword(s)||Magnetic resonance imaging, Neuroimaging, Postdural puncture headache, Postpartum headache and Subdural haematoma|
A postpartum headache is commonly seen in clinical practice, especially after a subarachnoid block. Generally, it is treated as a postdural puncture headache. We report on a case of a 24-year-old primigravida who underwent emergency Caesarean delivery under spinal anaesthesia. She developed a headache on the third postoperative day, which responded to conservative management. On the sixth day, she developed a severe headache which did not respond to analgesics and bed rest. Magnetic resonance imaging of the brain revealed a subdural haematoma. In such situation, there is a need to consider other differential diagnoses other than that of a postpartum headache and to conduct early neuroimaging, since the headache may be the first indication of an unsuspected, potentially fatal lesion.
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