| Autor: |
Dolak JA; From the Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia., Hadjipanayis CG, Demma LJ |
| Jazyk: |
angličtina |
| Zdroj: |
A & A case reports [A A Case Rep] 2017 Oct 15; Vol. 9 (8), pp. 233-235. |
| DOI: |
10.1213/XAA.0000000000000580 |
| Abstrakt: |
Not all postpartum headaches are caused by dural puncture, and it is possible for postpartum patients to have >1 cause for headache. After neuraxial block with an incidental large-gauge dural puncture, our patient developed a severe, classic postdural puncture headache which initially responded to an epidural blood patch. The patient was readmitted 2 days after discharge complaining of recurrent headache less characteristic of a postdural puncture headache, now being bifrontal/retro-orbital and without clear positional component. Computerized tomography and magnetic resonance imaging revealed an enlarged pituitary gland with a possible hemorrhagic focus; all endocrine parameters were normal. The patient was ultimately diagnosed with lymphocytic adenohypophysitis, an autoimmune inflammation of the anterior pituitary gland. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
