Allbright Leah, McLeod Francine, Mauney Donald
Obstetrics and Gynecology, Inova Fairfax Medical Campus, USA.
Virginia Commonwealth University School of Medicine, Department of Obstetrics and Gynecology, Inova Fairfax Medical Campus, USA.
Case Rep Obstet Gynecol. 2020 Jan 22;2020:7656232. doi: 10.1155/2020/7656232. eCollection 2020.
Women in the peripartum period can develop headache with a variety of etiologies that require a multidisciplinary approach if unresponsive to treatment (Stella et al. 2007). Neuroimaging needs to be undertaken even occasionally in the absence of focal neurologic signs to rule out life-threatening causes of headache. We present the case of a 23-year-old woman who presented postpartum with severe frontal headache without other neurologic symptoms. Treatment was initiated for tension type, then subsequently postdural puncture headache (PDPH), and finally preeclampsia. When CT venogram was obtained ten days later, the diagnosis of cerebral venous thrombosis (CVT) was made. She was started on anticoagulation and achieved complete recovery.
围产期女性可能会出现各种病因导致的头痛，如果治疗无效则需要多学科方法处理（斯特拉等人，2007年）。即使偶尔没有局灶性神经系统体征，也需要进行神经影像学检查以排除危及生命的头痛原因。我们报告一例23岁女性病例，该患者产后出现严重的额部头痛，无其他神经系统症状。最初按紧张型头痛进行治疗，随后诊断为硬膜穿刺后头痛（PDPH），最后诊断为子痫前期。十天后进行CT静脉造影时，确诊为脑静脉血栓形成（CVT）。她开始接受抗凝治疗并完全康复。
