Utility of neuroimaging in postpartum headache work-up: Case report and diagnostic considerations

V. V. Ajith, N. Shetty, Cherish Paul, P. Reddy

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2 Citations (Scopus)


A postpartum headache is commonly seen in clinical practice, especially after a subarachnoid block. Generally, it is treated as a postdural puncture headache. We report on a case of a 24-year-old primigravida who underwent emergency Caesarean delivery under spinal anaesthesia. She developed a headache on the third postoperative day, which responded to conservative management. On the sixth day, she developed a severe headache which did not respond to analgesics and bed rest. Magnetic resonance imaging of the brain revealed a subdural haematoma. In such situation, there is a need to consider other differential diagnoses other than that of a postpartum headache and to conduct early neuroimaging, since the headache may be the first indication of an unsuspected, potentially fatal lesion.

Original languageEnglish
Pages (from-to)178-180
Number of pages3
JournalSouthern African Journal of Anaesthesia and Analgesia
Issue number3
Publication statusPublished - 01-01-2013
Externally publishedYes


All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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