Treatment for postdural puncture headache associated with late postpartum eclampsia.
Postdural puncture headache (PDPH) is the most common complication of accidental or deliberate dural puncture. It also occurs after epidural or spinal analgesia for labor and delivery. Treatment may be conservative with analgesics and/or caffeine. Definitive treatment can be accomplished with an epidural blood patch (EBP). We present a case of postpartum convulsions which were temporally related to a caffeine infusion and an EBP.
Department of Anaesthesiology, University Hospitals Gasthuisberg, UZ Leuven, Belgium.
M
M
Van de Velde
M
M
Corneillie
B
B
Vanacker
E
E
Stevens
J
J
Verhaeghe
A
A
Van Assche
E
E
Vandermeersch
D000082:Acetaminophen / Q000627:therapeutic use; D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D001565:Benzoates / Q000627:therapeutic use; D017217:Blood Patch, Epidural / Q000009:adverse effects; D002110:Caffeine / Q000627:therapeutic use; D004338:Drug Combinations; D004461:Eclampsia / Q000150:complications*; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology; D005260:Female; D006261:Headache / Q000150:complications / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D006801:Humans; D011247:Pregnancy; D011644:Puerperal Disorders / Q000150:complications*; D011677:Punctures / Q000009:adverse effects*
D018712:Analgesics, Non-Narcotic; D001565:Benzoates; D004338:Drug Combinations; D000082:Acetaminophen; D002110:Caffeine; C025741:caffeine, sodium benzoate drug combination