title: [Posterior reversible encephalopathy syndrome and cerebrovascular constriction syndrome in the differential diagnosis of post-partum headaches].
abstract: Postpartum headache can be due to many causes. In a patient with previous epidural analgesia, the headache can be attributed to post-dural puncture headache, even if the symptoms are not typical of this clinical entity. We report a case of a post-partum with accidental dural tap during the insertion of an epidural catheter for labour analgesia, and who referred to headaches in the third post-partum day. Initially, a post-dural puncture headache was suspected, but the subsequent onset of seizures and visual impairment meant that the diagnosis had to be reconsidered. In this case report, the clinical and pathophysiological features of posterior reversible encephalopathy syndrome and reversible cerebral vasoconstriction syndrome, as well as the differential diagnosis of post-partum headaches are described.
authors.affiliation: Servicio de Anestesiología y Reanimación. Hospital Clínico Unversitario de Valladolid, Valladolid, España. Electronic address: nuyita.r@gmail.com.
authors.forename: N
authors.initials: N
authors.lastname: Ruiz López
authors.affiliation: Servicio de Anestesiología y Reanimación. Hospital Clínico Unversitario de Valladolid, Valladolid, España.
authors.forename: B
authors.initials: B
authors.lastname: Cano Hernández
authors.affiliation: Servicio de Anestesiología y Reanimación. Hospital Clínico Unversitario de Valladolid, Valladolid, España.
authors.forename: S
authors.initials: S
authors.lastname: Balbás Álvarez
mesh_terms: D003250:Constriction; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000175:diagnosis*; D006801:Humans; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis*; D049590:Postpartum Period
keywords: Cefalea; Ceguera cortical; Convulsiones; Cortical blindness; Encefalopatía; Encephalopathy; Headache; Hipertensión; Hypertension; Periodo de posparto; Post-partum; Seizures