Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Germany.
Arch Gynecol Obstet. 2012 Jan;285(1):93-7. doi: 10.1007/s00404-011-1964-0. Epub 2011 Jul 20.
In this report, we describe a patient who developed severe headache following epidural analgesia for labor and delivery. Although the epidural puncture had been reported to be uneventful, headache was initially suspected to result from an accidental dural puncture. After the headache worsened, a sinus venous thrombosis was suspected and subsequently confirmed by magnetic resonance imaging. This case highlights the difficulty of differential diagnosis of headache in the postnatal period in patients after EDA and stresses the necessity of considering alternative pathologies.
在本报告中，我们描述了一例产妇分娩行硬膜外镇痛后出现严重头痛的病例。尽管硬膜外穿刺过程无异常，但最初怀疑头痛是由于意外的硬脊膜穿刺引起的。头痛加重后，怀疑并随后通过磁共振成像证实为静脉窦血栓形成。本病例强调了 EDA 后产妇产后头痛鉴别诊断的困难，并强调了考虑其他病理的必要性。
