Post-delivery postural headache: not always a classical post-dural puncture headache.
We report a parturient complaining of headache after spinal and epidural labour analgesia with neurological deterioration following an epidural blood patch. Further investigation revealed a medulloblastoma within the fourth ventricle. The patient underwent an operation 4 days after the diagnosis, but died 2 years later. The consequences of the use of neuraxial analgesia and epidural blood patch in the treatment of post-dural puncture headache in this kind of pathology are discussed.
Eede
H Vanden
HV
Department of Anaesthesia, University Hospital Antwerp, Edegem, Belgium.
Hoffmann
V L H
VL
Vercauteren
M P
MP
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D036861:Delivery, Obstetric; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D008527:Medulloblastoma / Q000175:diagnosis* / Q000601:surgery; D011187:Posture; D011247:Pregnancy; D011677:Punctures; D016896:Treatment Outcome