Cerebral venous thrombosis after epidural blood patch: coincidence or causal relation? A case report and review of the literature
| Autor: | M Kueper, SL Goericke, Oliver Kastrup |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
medicine.medical_specialty Post-dural-puncture headache Risk Factors Parietal Lobe medicine Headache Disorders Secondary Humans Cerebral Hemorrhage Epidural blood patch Venous Thrombosis medicine.diagnostic_test biology business.industry Causal relations Genetic Carrier Screening Factor V Magnetic resonance imaging General Medicine Puerperal Disorders medicine.disease Surgery Analgesia Epidural Causality Venous thrombosis Cortical haemorrhage Hemiparesis Diffusion Magnetic Resonance Imaging Anesthesia Mutation biology.protein Analgesia Obstetrical Female Neurology (clinical) medicine.symptom Intracranial Thrombosis business Blood Patch Epidural Magnetic Resonance Angiography |
| Zdroj: | Cephalalgia : an international journal of headache. 28(7) |
| ISSN: | 1468-2982 |
| Popis: | We report on a female patient who developed post-dural puncture headache (PDPH) after epidural analgesia for delivery. Treatment with epidural blood patch led to complete headache remission and the patient was discharged. Two days later the patient was readmitted with hemihypaesthesia and mild hemiparesis of the right side. Magnetic resonance imaging showed a small left parietal cortical haemorrhage probably following cerebral venous thrombosis (CVT). Coagulation screening detected heterozygous Factor V mutation. Headache is a common symptom of PDPH and CVT. Review of the literature revealed five patients in puerperal state, who developed CVT in close temporal relationship after blood patch treatment for PDPH. Change of headache character with loss of postural influence was reported frequently before diagnosis of CVT was confirmed. These findings may indicate a causal relationship. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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