Hindbrain hernia masquerading as postpartum subarachnoid haemorrhage.
A 29-year-old postpartum lady presented with a headache suggestive of subarachnoid haemorrhage. Investigations were negative for sources of haemorrhage, but revealed a hindbrain hernia. Hindbrain hernia should be considered as a cause of headache postpartum, as repeated Valsalva manoeuvres performed during vaginal delivery may further aggravate tonsillar decent.
Wynne-Jones
G A
GA
Department of Neurosurgery, University Hospital Birmingham Queen Elizabeth, Edgbaston, Birmingham, UK. guy.wynne-jones@virgin.net
Akinwunmi
J
J
Flint
G
G
D000328:Adult; D002531:Cerebellum / Q000098:blood supply / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000209:etiology; D006547:Hernia / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D007744:Obstetric Labor Complications / Q000175:diagnosis*; D006473:Postpartum Hemorrhage / Q000175:diagnosis*; D011247:Pregnancy; D011859:Radiography; D012249:Rhombencephalon; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis*