Postpartum post-dural puncture headache: is your differential diagnosis complete?
We describe a patient with an intracerebral haemorrhage following an accidental dural puncture during an attempted epidural for pain relief in labour. Anaesthetists need to include intracerebral haemorrhage in the differential diagnosis of post-dural puncture headache in the puerperium.
Bleeker
C P
CP
Department of Anaesthesiology, St Radboud University Medical Centre Nijmegen, The Netherlands. c.bleeker@anes.umcn.nl
Hendriks
I M
IM
Booij
L H D J
LH
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004388:Dura Mater / Q000293:injuries; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis*