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A Rare Case of Transverse Sinus Venous Thrombosis Simulating Postdural Puncture Headache After Cervical Epidural Injection.
Guirguis, Maged; Jusino, Eduardo; Tolba, Reda; Samuel, Samuel.
Afiliação
  • Guirguis M; From the *Department of Pain Management, Ochsner Clinic Foundation, New Orleans, Louisiana; and †Department of Pain Management, Anesthesiology Institute, Cleveland Clinic Foundation, New Orleans, Louisiana.
A A Case Rep ; 7(3): 57-9, 2016 Aug 01.
Article em En | MEDLINE | ID: mdl-27258176
Postdural puncture headache (PDPH) is a feared complication related to epidural steroid injections. We report a unique case in which all subjective and objective findings indicated the diagnosis of PDPH. However, the patient failed appropriate conservative and interventional management. Therapeutic failure prompted further investigation to establish the correct diagnosis of cerebral venous sinus thrombosis. Cerebral venous sinus thrombosis is a rare, difficult to diagnose, but potentially lethal disorder with nonspecific and variable clinical presentations, including headache and focal neurological deficits. Performing magnetic resonance imaging and magnetic resonance venogram should be considered early, especially in patients who fail to respond to standard interventions for PDPH.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Injeções Epidurais / Vértebras Cervicais / Trombose Venosa / Trombose do Seio Lateral / Cefaleia Pós-Punção Dural Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Injeções Epidurais / Vértebras Cervicais / Trombose Venosa / Trombose do Seio Lateral / Cefaleia Pós-Punção Dural Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2016 Tipo de documento: Article