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
Article
in En
| LILACS
| ID: biblio-1420638
Responsible library:
BR891.2
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.
Key words
Full text:
1
Index:
LILACS
Main subject:
Post-Dural Puncture Headache
Type of study:
Etiology_studies
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Braz. J. Anesth. (Impr.)
Year:
2023
Type:
Article