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Grant EN, Wang J, Gelpi B, et al. Diagnosing and managing peripartum headache. Proc (Bayl Univ Med Cent). 2015;28(4):463-5doi: 10.1080/08998280.2015.11929309.
Grant, E. N., Wang, J., Gelpi, B., Wortman, A., & Tao, W. (2015). Diagnosing and managing peripartum headache. Proceedings (Baylor University. Medical Center), 28(4), 463-5. https://doi.org/10.1080/08998280.2015.11929309
Grant, Erica N, et al. "Diagnosing and managing peripartum headache." Proceedings (Baylor University. Medical Center) vol. 28,4 (2015): 463-5. doi: https://doi.org/10.1080/08998280.2015.11929309
Grant EN, Wang J, Gelpi B, Wortman A, Tao W. Diagnosing and managing peripartum headache. Proc (Bayl Univ Med Cent). 2015 Oct;28(4):463-5. doi: 10.1080/08998280.2015.11929309. PMID: 26424942; PMCID: PMC4569225.
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Proc (Bayl Univ Med Cent). 2015 Oct;28(4):463-5. doi: 10.1080/08998280.2015.11929309.

Diagnosing and managing peripartum headache.

Proceedings (Baylor University. Medical Center)

Erica N Grant, Jia Wang, Brian Gelpi, Alison Wortman, Weike Tao

Affiliations

  1. Department of Anesthesiology and Pain Management (Grant, Wang, Gelpi, Tao) and the Department of Obstetrics and Gynecology (Wortman), University of Texas Southwestern Medical Center, Dallas, Texas.

PMID: 26424942 PMCID: PMC4569225 DOI: 10.1080/08998280.2015.11929309

Abstract

A 38-year-old gravida 7 para 5 Hispanic woman at 36 weeks and 4 days gestation presented with a postpartum headache following vaginal delivery complicated by an unintentional dural puncture for epidural analgesia. Due to the positional nature of the headache and its frontal and occipital origin, a postdural puncture headache was diagnosed. After failure of conservative treatment, an epidural blood patch was used, which offered immediate relief. However, shortly following the procedure, the parturient's neurological condition deteriorated due to an unrecognized intraparenchymal and subarachnoid hemorrhage requiring an emergent craniectomy. This case highlights the importance of diligence when evaluating and treating postpartum headache despite a classic presentation.

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