Radiographic appearance of a post-epidural headache.
We report the case of a 35-year-old lady who presented with a 6-day history of a postural headache following an uncomplicated epidural catheter insertion. Meningitis was initially suspected and a neurology review was obtained. CT and MRI brain revealed features suggestive of meningitis. However these radiological features are also consistent with post dural puncture headache (PDPH). This case highlights the under reported and possible misleading radiographical features of PDPH.
Weekes
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St Vincent's University Hospital, Elm Park, Dublin 4. gavin.weekes@gmail.com
Breslin
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D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D051299:Post-Dural Puncture Headache / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013129:Spinal Puncture / Q000009:adverse effects*