title: Sinus venous thrombosis: a differential diagnosis of postpartum headache.
abstract: In this report, we describe a patient who developed severe headache following epidural analgesia for labor and delivery. Although the epidural puncture had been reported to be uneventful, headache was initially suspected to result from an accidental dural puncture. After the headache worsened, a sinus venous thrombosis was suspected and subsequently confirmed by magnetic resonance imaging. This case highlights the difficulty of differential diagnosis of headache in the postnatal period in patients after EDA and stresses the necessity of considering alternative pathologies.
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Germany.
authors.forename: Maria
authors.initials: M
authors.lastname: Wittmann
authors.forename: Daniela
authors.initials: D
authors.lastname: Dewald
authors.forename: Horst
authors.initials: H
authors.lastname: Urbach
authors.forename: Anne-Sybil
authors.initials: AS
authors.lastname: Gast
authors.forename: Michael
authors.initials: M
authors.lastname: Linnebank
authors.forename: Georg
authors.initials: G
authors.lastname: Baumgarten
authors.forename: Pascal
authors.initials: P
authors.lastname: Knuefermann
authors.forename: Rudolf
authors.initials: R
authors.lastname: Hering
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects; D000700:Analgesics / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D051299:Post-Dural Puncture Headache / Q000175:diagnosis* / Q000188:drug therapy; D049590:Postpartum Period; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000188:drug therapy; D012720:Severity of Illness Index; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000700:Analgesics; D000925:Anticoagulants; D005343:Fibrinolytic Agents; D014859:Warfarin; D006493:Heparin