Abstract |
We discuss the differential diagnosis and management of early post-partum seizures and headache following a presumed dural puncture in a 20-year-old female. She initially presented with generalised tonic-clonic seizures preceded by nausea and headache on the fourth post-partum day along with a decreased Glasgow Coma Scale (8/15). Although clinical and laboratory examination including lumbar puncture, computerized tomography and magnetic resonance imaging were normal, a persistent headache was the only symptom. This headache improved dramatically after an epidural blood patch on the eighth post-partum day. The following discussion emphasises that various causes of post-partum seizures and headache should be considered before attributing it to dural puncture alone.
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Authors | Sunil Jamadarkhana, Robert C Law |
Journal | Indian journal of anaesthesia
(Indian J Anaesth)
Vol. 56
Issue 2
Pg. 183-5
(Mar 2012)
ISSN: 0976-2817 [Electronic] India |
PMID | 22701214
(Publication Type: Journal Article)
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