Spontaneous intracranial hypotension after labor without spinal intervention.
We present a 29-year-old woman admitted with severe postural headache after spontaneous term labor. Lactation ceased for the duration of headache. Magnetic resonance imaging (MRI) revealed dural thickening that is suggestive of spontaneous intracranial hypotension. CT-cisternography disclosed cervicodorsal dural leak. She was treated with a high-volume epidural blood patch (EBP) and her symptoms were relieved. Lactation returned to normal after EBP. She had normal findings on follow-up MRI examination at 6 months.
Department of Radiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. salbayram@hotmail.com
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D000328:Adult; D017217:Blood Patch, Epidural; D015170:Cerebrospinal Fluid Pressure; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D005260:Female; D006261:Headache / Q000209:etiology* / Q000503:physiopathology*; D006801:Humans; D019585:Intracranial Hypotension / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy; D007775:Lactation Disorders / Q000209:etiology; D008279:Magnetic Resonance Imaging; D007744:Obstetric Labor Complications / Q000503:physiopathology*; D011187:Posture; D011247:Pregnancy; D013355:Subdural Space / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome