Postpartum headache after epidural anaesthesia: Who to blame? / Cefalea posparto tras anestesia epidural: ¿a quién culpar?
Rev Esp Anestesiol Reanim (Engl Ed)
; 2021 Jan 28.
Article
en En, Es
| MEDLINE
| ID: mdl-33516566
ABSTRACT
INTRODUCTION:
Epidural analgesia is considered the preferred analgesic choice during labour. Post dural puncture headache (PDPH) is considered a potential complication of this analgesic technique and is a frequently hypothesis for any headache occurring after delivery. It is essential that anaesthetists and obstetricians are familiar with other possible differential diagnosis for postpartum headache (PPH). CASE DESCRIPTION 37-year-old female presented after delivery with intense occipital pulsatile headache associated with neck radiation, nausea and vomiting, hemodynamically stable and normal neurologic physical examination. Abnormalities in thyroid hormone levels were found. CT-scan findings suggested pituitary apoplexy.DISCUSSION:
There are many differential diagnoses for PPH and some are rarely considered, such as pituitary apoplexy. It is essential to differentiate signs and symptoms of each diagnosis, since many of them overlap.CONCLUSION:
Not all postpartum headaches are PDPH and the first suspected diagnosis may not always be accurate.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
/
Es
Revista:
Rev Esp Anestesiol Reanim (Engl Ed)
Año:
2021
Tipo del documento:
Article