Abstract
In this report we describe a patient who developed severe headache following uneventful continuous epidural analgesia for labour and delivery. Initially it was thought that she had a spinal headache. However, with the aid of Magnetic Resonance Imaging the diagnosis of cerebral venous thrombosis was later established. The entity of cerebral venous thrombosis, its manifestation, pathology, diagnosis and treatment are discussed.
Résumé
On décrit dans ce papier le cas d’une patient qui a développé une céphalée sévère après une analgésie épidurale continue sans problème lors du travail et de l’accouchement. Au début on pensait que la douleur était d’origine rachidienne, cependant avec l’aide de la résonance magnétique le diagnostic d’une trombose cérébrate veineuse fut plus tard établi. La thrombose veineuse cérébrate et ses manifestations, pathologie, diagnostic et traitement sont discutés.
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Abouleish E, Vega SD, Blendinger I. Long-term follow-up of epidural blood patch. Anesth Analg 1975; 54: 459–63.
Crawford JS. The second thousand epidural blocks in an obstetric hospital practice. Br J. Anaesth 1972; 44: 1277–87.
Ravindran RS, Albrecht WH, Tasch M. Low pressure headache following successful continuous lumbar epidural analgesia. Anesth Analg 1980; 59: 799–800.
Kendall D. Thrombosis of intracranial veins. Brain 1948; 71:391–8.
Srinivasan K. Cerebral venous thrombosis in pregnancy and puerperium. Angiology 1983; 34: 731–46.
Lorincz AB, Moore RY. Puerperal cerebral venous thrombosis. Am J Obstet Gynecol 1962; 83: 311–8.
Younger D, Jones MM, Adenwala, Citrin A, Joyce TH. Maternal cortical vein thrombosis and the obstetric anesthesiologist. Anesth Analg 1986; 65: 1007–12.
Gewirtz EC, Costin MC, Marx GF. Cortical vein thrombosis may mimic postdural puncture headache. Regional Anesthesia 1987; 12: 188–90.
Cross JN, Castro PO, Jennett WB. Cerebral strokes associated with pregnancy and puerperium. Br Med J 1968; 3: 214–8.
Fairburn B. Intracranial venous thrombosis complicating oral contraception, treatment by anticoagulant drugs. Br Med J 1973; 2: 647–51.
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Ravindran, R.S., Zandstra, G.C. & Viegas, O.J. Postpartum Headache Following Regional Analgesia; A Symptom of Cerebral Venous Thrombosis. Can J Anaesth 36, 705–707 (1989). https://doi.org/10.1007/BF03005426
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DOI: https://doi.org/10.1007/BF03005426