Arch Gynecol Obstet. 2011 Jun;283(6):1423-5. doi: 10.1007/s00404-010-1748-y. Epub 2010 Nov 3.
Headache in late pregnancy is warning of the presence of severe and/or lethal disorders. Here, we present a case of Vogt-Koyanagi-Harada disease (VKH), in which headache was the preceding and predominant symptom. At 37 weeks of pregnancy, a Japanese 1-para woman with an uneventful pregnancy complained of severe headache and then blurred vision. Although we initially diagnosed this condition as pregnancy-associated retinal detachment, headache and blurred vision persisted after delivery. Eye anterior segment lesions appeared and VKH disease was diagnosed, with systemic steroid administration completely ameliorating both the headache and visual disturbance. Obstetricians must be aware that headache may be the first sign of VKH disease.
妊娠晚期头痛是严重和/或致命疾病的警告。在这里，我们报告了一例 Vogt-Koyanagi-Harada 病（VKH），其中头痛是前驱和主要症状。在妊娠 37 周时，一位日本初产妇，妊娠顺利，主诉严重头痛，然后视力模糊。虽然我们最初诊断为妊娠相关性视网膜脱离，但产后头痛和视力模糊持续存在。眼部前段病变出现，诊断为 VKH 病，全身类固醇治疗完全缓解头痛和视力障碍。产科医生必须意识到头痛可能是 VKH 病的第一个迹象。
