A 'postspinal headache' associated with incidental intracranial pathology.
A 28-year-old woman developed symptoms of raised intracranial pressure associated with an obstructive hydrocephalus following a spinal anaesthetic administered for a Kiellands rotation forceps delivery. A diagnosis of an unverified pineal body tumour was made after computerised axial tomography scanning and the symptoms were effectively treated by the insertion of a ventriculoperitoneal shunt. This unusual case demonstrates the importance of careful history taking and neurological examination where symptoms of postspinal headache persist.
Dutton
D A
DA
Victoria Infirmary, Langside, Glasgow.
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001932:Brain Neoplasms / Q000150:complications; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D010870:Pineal Gland