Zandi Shokrollah, Atcheson Carrie Leigh Hamby, Yousefi Seyedeh Reyhaneh, Zahedi Farhad, Mirkarimi Sadafsadat, Nasseri Karim
From the Department of Neurosurgery, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Oregon Anesthesiology Group, Department of Anesthesiology, Legacy Emanuel Medical Center, Portland, Oregon.
A A Pract. 2020 Apr;14(6):e01190. doi: 10.1213/XAA.0000000000001190.
We present the case of a 39-year-old woman with postpartum cerebellar infarction (CI) following spinal anesthesia for cesarean delivery. The patient experienced mild headache after postoperative day 1 and returned on postoperative day 6 with a severe headache. For the subsequent 3 days, she underwent conservative treatment for presumed postdural puncture headache (PDPH) before neurologic decline and diagnosis of CI on postoperative day 9. She subsequently underwent craniotomy and debridement of necrotic tissues. Prolonged or position-independent postpartum headache should prompt broadening of the differential diagnosis beyond PDPH to include other more rare but serious causes of postpartum headache.
我们报告了一例39岁女性，在剖宫产脊髓麻醉后发生产后小脑梗死（CI）。患者术后第1天出现轻度头痛，术后第6天因严重头痛再次就诊。在随后的3天里，她因疑似硬膜外穿刺后头痛（PDPH）接受了保守治疗，直到术后第9天出现神经功能减退并被诊断为CI。她随后接受了开颅手术和坏死组织清创术。产后头痛持续时间延长或与体位无关时，应拓宽鉴别诊断范围，除PDPH外，还应包括其他更罕见但严重的产后头痛原因。
