We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Distinguishing between preeclampsia and dural puncture headaches in a postpartum patient: A challenging diagnosis.
- Authors
Sassi, Kaissar; Boileau, Béatrice; Olivot, Jean; Bonneville, Fabrice; Rubin, Amelie; Tardif, Elsa; Minville, Vincent; Guerby, Paul
- Abstract
This case report highlights the diagnostic challenges in distinguishing between postpartum headaches caused by preeclampsia and those caused by a suspected dural puncture in a patient with both conditions. The patient had a history of preeclampsia, was well-controlled with labetalol, and received epidural anesthesia using the Tuohy needle during labor. Six hours after delivery, she reported postural headaches, neck tension, and tinnitus, typical symptoms of dural puncture headaches. However, the patient eventually experienced a generalized tonic-clonic seizure and was diagnosed with posterior reversible encephalopathy syndrome and intracranial hypotension. This case highlights the importance of considering multiple underlying factors when analyzing postpartum headaches and the need for prompt and appropriate management to prevent potentially life-threatening complications.
- Subjects
POSTERIOR leukoencephalopathy syndrome; PREECLAMPSIA; HEADACHE; PUERPERIUM; EPIDURAL anesthesia; PUERPERAL disorders; EPILEPSY
- Publication
Journal of Obstetric Anaesthesia & Critical Care, 2024, Vol 14, Issue 1, p87
- ISSN
2249-4472
- Publication type
Article
- DOI
10.4103/JOACC.JOACC_41_23