Postpartum headache after epidural anaesthesia: Who to blame?
Rev Esp Anestesiol Reanim (Engl Ed)
; 68(9): 531-536, 2021 Nov.
Article
in En
| MEDLINE
| ID: mdl-34836583
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Analgesia, Epidural
/
Post-Dural Puncture Headache
/
Anesthesia, Epidural
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Rev Esp Anestesiol Reanim (Engl Ed)
Year:
2021
Document type:
Article