Di Paolo Marco, Maiese Aniello, Mangiacasale Ornella, Pesetti Barbara, Pierotti Simone, Manetti Alice Chiara, dell'Aquila Massimiliano, De Filippis Angela, Turillazzi Emanuela
Section of Legal Medicine, S. Chiara Hospital, University of Pisa, via Roma 55, 56126 Pisa, Italy.
Section of Anesthesiology, Department of Surgical, Medical, Molecular Pathology and of Critical Area, University of Pisa, 56126 Pisa, Italy.
Medicina (Kaunas). 2021 Apr 13;57(4):376. doi: 10.3390/medicina57040376.
Headache is a common finding in the postpartum period, caused by a spectrum of different conditions. Most headaches in the postpartum period are self-limiting and benign in etiology, but there are some potentially serious causes to be considered. We disclose two cases of postpartum headache, initially considered as post-dural puncture headache (PDPH), that evolved into a harmful condition and showed that an expanded differential diagnosis for headache in the postpartum is mandatory, requiring a high level of attention from health professionals. In fact, a careful examination of the medical history, physical examination, and the recognition for the need for early neuroradiological imaging should increase diagnostic accuracy.
头痛是产后常见的症状，由一系列不同情况引起。产后的大多数头痛在病因上是自限性且良性的，但也有一些潜在的严重病因需要考虑。我们报告两例产后头痛病例，最初被认为是硬膜外穿刺后头痛（PDPH），后来发展成有害病症，这表明对产后头痛进行更广泛的鉴别诊断是必要的，需要医护人员高度关注。事实上，仔细检查病史、进行体格检查以及认识到早期神经放射影像学检查的必要性，应能提高诊断准确性。
