Utility of neuroimaging in postpartum headache work-up

Case report and diagnostic considerations

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

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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
Volume19
Issue number3
DOIs
Publication statusPublished - 01-01-2013
Externally publishedYes

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Neuroimaging
Postpartum Period
Headache
Post-Dural Puncture Headache
Subdural Hematoma
Bed Rest
Spinal Anesthesia
Analgesics
Emergencies
Differential Diagnosis
Magnetic Resonance Imaging
Brain

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

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Utility of neuroimaging in postpartum headache work-up : Case report and diagnostic considerations. / Ajith, V. V.; Shetty, N.; Paul, Cherish; Reddy, P.

In: Southern African Journal of Anaesthesia and Analgesia, Vol. 19, No. 3, 01.01.2013, p. 178-180.

Research output: Contribution to journalArticle

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