Postpartum post-dural puncture headache: is your differential diagnosis complete?

We describe a patient with an intracerebral haemorrhage following an accidental dural puncture during an attempted epidural for pain relief in labour. Anaesthetists need to include intracerebral haemorrhage in the differential diagnosis of post-dural puncture headache in the puerperium.

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Bibliographic Details
Published in:British journal of anaesthesia : BJA 2004-09, Vol.93 (3), p.461-464
Main Authors: Bleeker, C.P., Hendriks, I.M., Booij, L.H. D.J.
Format: Article
Language:English
Subjects:
Adult
anaesthetic techniques
anaesthetic techniques, epidural blood patch
Analgesia, Epidural - adverse effects
Analgesia, Obstetrical - adverse effects
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
brain
brain, intracerebral haemorrhage
Cerebral Hemorrhage - diagnosis
Cerebral Hemorrhage - etiology
complications
complications, dural puncture
Diagnosis, Differential
Dura Mater - injuries
dural puncture
epidural blood patch
Female
Headache - etiology
Humans
intracerebral haemorrhage
Medical sciences
Pregnancy
Puerperal Disorders - diagnosis
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Description
Summary:We describe a patient with an intracerebral haemorrhage following an accidental dural puncture during an attempted epidural for pain relief in labour. Anaesthetists need to include intracerebral haemorrhage in the differential diagnosis of post-dural puncture headache in the puerperium.
ISSN:0007-0912
1471-6771
DOI:10.1093/bja/aeh198