Waidelich J M, Bullough A S, Mhyre J M
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, MI 48109-0048, USA.
Int J Obstet Anesth. 2008 Jan;17(1):61-5. doi: 10.1016/j.ijoa.2007.04.003. Epub 2007 Aug 10.
We report a case of postpartum headache caused by internal carotid artery dissection in a 36-year-old woman following uneventful epidural analgesia for spontaneous labor and vaginal delivery. Cervicocerebral arterial dissection requires rapid diagnosis and anticoagulation to prevent thrombus formation and to avoid secondary cerebral thromboembolism. Fortunately, our patient suffered ischemic symptoms, but no permanent neurologic deficit. Anesthesiologists should consider carotid artery dissection in the differential diagnosis of postpartum headache.
我们报告一例36岁女性产后头痛病例，该患者在自然分娩及阴道分娩过程中接受硬膜外镇痛后发生颈内动脉夹层。颈脑动脉夹层需要快速诊断并进行抗凝治疗，以防止血栓形成并避免继发性脑栓塞。幸运的是，我们的患者出现了缺血症状，但未遗留永久性神经功能缺损。麻醉医生在产后头痛的鉴别诊断中应考虑颈动脉夹层。
