Spontaneous intracranial hypotension after labor without spinal intervention

被引:8
作者
Albayram, S. [1 ]
Tuzgen, S. [2 ]
Guenduez, A. [3 ]
Kilic, F. [1 ]
Bas, A. [1 ]
机构
[1] Istanbul Univ, Cerrahpasa Med Sch, Cerrahpasa Med Fac, Dept Radiol,Div Neuroradiol, TR-34300 Istanbul, Turkey
[2] Istanbul Univ, Cerrahpasa Med Fac, Dept Neurosurg, TR-34300 Istanbul, Turkey
[3] Istanbul Univ, Cerrahpasa Med Fac, Dept Neurol, TR-34300 Istanbul, Turkey
关键词
CT cisternography; delivery; dural thickening; magnetic resonance imaging; postpartum; spontaneous intracranial hypotension syndrome;
D O I
10.1111/j.1468-1331.2007.01994.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:91 / 93
页数:3
相关论文
共 10 条
  • [1] Intracranial hypotension: A case of spontaneous arachnoid rupture in a parturient
    Albertin, A
    Marchetti, C
    Mamo, D
    Poli, D
    Dedola, E
    [J]. ANESTHESIOLOGY, 2006, 104 (03) : 609 - 610
  • [2] Spontaneous intracranial hypotension during pregnancy
    Asakura, H
    Hayashi, Z
    Seto, M
    Araki, T
    [J]. OBSTETRICS AND GYNECOLOGY, 2001, 97 (05) : 804 - 805
  • [3] Bel I, 2006, CAN J ANAESTH, V53, P591, DOI 10.1007/BF03021850
  • [4] Unilateral trigeminal and facial nerve palsies associated with epidural analgesia in labour
    Carrero, EJ
    Agustí, M
    Fábregas, N
    Valldeoriola, F
    Fernández, C
    [J]. CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1998, 45 (09): : 893 - 897
  • [5] Postpartum postural headache due to superior sagittal sinus thrombosis mistaken for spontaneous intracranial hypotension
    Chisholm, ME
    Campbell, DC
    [J]. CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2001, 48 (03): : 302 - 304
  • [6] The incidence and etiology of postpartum headaches: a prospective cohort study
    Goldszmidt, E
    Kern, R
    Chaput, A
    Macarthur, A
    [J]. CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2005, 52 (09): : 971 - 977
  • [7] Stress during labor and delivery is associated with delayed onset of lactation among urban Guatemalan women
    Grajeda, R
    Pérez-Escamilla, R
    [J]. JOURNAL OF NUTRITION, 2002, 132 (10) : 3055 - 3060
  • [8] Headaches caused by decreased intracranial pressure: diagnosis and management
    Mokri, B
    [J]. CURRENT OPINION IN NEUROLOGY, 2003, 16 (03) : 319 - 326
  • [9] An audit of accidental dural puncture during epidural insertion of a Tuohy needle in obstetric patients
    Paech, M
    Banks, S
    Gurrin, L
    [J]. INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2001, 10 (03) : 162 - 167
  • [10] Connective tissue disorders with spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension: A prospective study
    Schievink, WI
    Gordon, OK
    Tourje, J
    [J]. NEUROSURGERY, 2004, 54 (01) : 65 - 70