It.ÇÖs not always postdural puncture headache: a case report and note to the astute anesthesiologist.

Autor:	Khan E; University of Texas Medical Branch at Galveston, Department of Anesthesiology, Galveston, Texas, USA. Electronic address: khane4@nychhc.org., Babazade R; University of Texas Medical Branch at Galveston, Department of Anesthesiology, Galveston, Texas, USA., Ibrahim M; University of Texas Medical Branch at Galveston, Department of Anesthesiology, Galveston, Texas, USA., Simon M; University of Texas Medical Branch at Galveston, Department of Anesthesiology, Galveston, Texas, USA., Juarez L; Metropolitan Medical Center, NYCH(+) Hospitals, Department of Anesthesiology, New York, USA., Roni M; Metropolitan Medical Center, NYCH(+) Hospitals, Department of Anesthesiology, New York, USA., Rakesh V; University of Texas Medical Branch at Galveston, Department of Anesthesiology, Galveston, Texas, USA.
Jazyk:	angličtina
Zdroj:	Brazilian journal of anesthesiology (Elsevier) [Braz J Anesthesiol] 2023 Jan-Feb; Vol. 73 (1), pp. 108-111. Date of Electronic Publication: 2021 Jun 24.
DOI:	10.1016/j.bjane.2021.06.003
Abstrakt:	Dural puncture is either diagnosed by unexpectedly profound response to medication test dose or development of a postpartum postural headache. Epidural blood patch is the gold standard for treatment of PDPH when conservative management fails. However, postpartum headaches can be resistant to multiple epidural blood patches. In such cases, preexisting intracranial processes should be considered and ruled out. We report here the unique case of a pregnant patient who developed a resistant headache in the postpartum period related to an incidental intracranial aneurysm. Subsequent treatment with endovascular embolization adequately relieved her symptoms. Early surgical consultation and a multidisciplinary team approach involving neurology and neuroimaging is required for successful management of patients such as the one described here. (Copyright © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.)
Databáze:	MEDLINE
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