Postpartum Headache—Unmasking the Zebra Among the Horses: A Case Report

Postdural puncture headache (PDPH) is a complication of dural puncture. An epidural blood patch (EBP) is the standard treatment; however, when EBP fails, alternative treatments and/or diagnoses must be considered. We present a case of orthostatic headache initially diagnosed as PDPH but likely due t...

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Bibliographic Details
Published in:	A&A practice Vol. 14; no. 13; p. e01340
Main Authors:	Jones, Anastasia, Cometa, M. Anthony, Euliano, Tammy, Lopez, Brandon M.
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins 06-11-2020
Subjects:	Blood Patch, Epidural Female Headache - etiology Headache - therapy Humans Post-Dural Puncture Headache - etiology Post-Dural Puncture Headache - therapy Postpartum Period
Online Access:	Get full text
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Summary:	Postdural puncture headache (PDPH) is a complication of dural puncture. An epidural blood patch (EBP) is the standard treatment; however, when EBP fails, alternative treatments and/or diagnoses must be considered. We present a case of orthostatic headache initially diagnosed as PDPH but likely due to spontaneous intracranial hypotension. It is imperative for anesthesiologists, as members of an interdisciplinary peripartum team, to be familiar with the evaluation and treatment of postpartum headache and recognize when further workup and consultation may be indicated.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2575-3126 2575-3126
DOI:	10.1213/XAA.0000000000001340