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Post-dural puncture headache accompanied by obvious nasal congestion: A case report.
Yan, Ming; Wang, Qiao; Zhang, Yufeng; Sun, Yue; Sun, Jian.
Affiliation
  • Yan M; Department of Anesthesiology, The Huai'an Maternity and Child Clinical College of Xuzhou Medical University (Huai' an maternal and child health care center), Huaian, China.
Medicine (Baltimore) ; 102(24): e34078, 2023 Jun 16.
Article in En | MEDLINE | ID: mdl-37327260
INTRODUCTION: Post-dural puncture headache (PDPH) is the most common complication of intraspinal nerve block in gravida. PDPH may be accompanied by neck stiffness, tinnitus, hearing loss, photophobia or nausea. PATIENT CONCERNS: A 33-year-old woman whose dura was accidentally punctured during labor analgesia complained of severe headache, dizziness, and nasal congestion; these symptoms aggravated when she looked up, and her sense of smell was normal 8 hours after catheter removal. DIAGNOSES: Based on the patient's complaints and clinical appearance, diagnosis of PDPH was considered. INTERVENTIONS: Nasal congestion disappeared with headache and dizziness after epidural injections of saline. The puerpera received saline injections 4 times; after treatment, she was discharged from the hospital when the symptoms did not limit her daily movement. OUTCOMES: The symptoms disappeared completely on the seventh day of telephone follow-up visit. The mechanism of her nasal obstruction is not very clear. CONCLUSION: We believe it is caused by the pulling of the intracranial nerve as the brain tissue sinks and shifts due to the decrease in intracranial pressure.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Post-Dural Puncture Headache Type of study: Etiology_studies Limits: Adult / Female / Humans Language: En Journal: Medicine (Baltimore) Year: 2023 Document type: Article Affiliation country: China Country of publication: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Post-Dural Puncture Headache Type of study: Etiology_studies Limits: Adult / Female / Humans Language: En Journal: Medicine (Baltimore) Year: 2023 Document type: Article Affiliation country: China Country of publication: Estados Unidos