Anesth Pain Med.  2015 Jan;10(1):42-45. 10.17085/apm.2015.10.1.42.

Posterior reversible encephalopathy syndrome after normal vaginal delivery: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea. drjack@nate.com

Abstract

Benign primary headaches are common during the postpartum period. However, there are several other kinds of headaches caused by specific underlying pathologies like post-dural puncture headache (PDPH), pregnancy induced hypertension, cortical vein thrombosis, posterior reversible encephalopathy syndrome (PRES), subarachnoid hemorrhage, intracranial hemorrhage, brain tumor, and so on. These headaches are rare but each can be life threatening conditions when diagnosis is delayed. If a patient was treated for another type of headache, like a PDPH, the diagnosis would be even more difficult. We report on the case of a 24 year-old woman who suffered with PDPH followed by postpartum eclampsia with PRES.

Keyword

Headache; Hypertension; Post-dural puncture headache; Posterior reversible encephalopathy; Seizure

MeSH Terms

Diagnosis
Eclampsia
Female
Headache
Humans
Hypertension
Hypertension, Pregnancy-Induced
Intracranial Hemorrhages
Pathology
Post-Dural Puncture Headache
Posterior Leukoencephalopathy Syndrome*
Postpartum Period
Pregnancy
Seizures
Subarachnoid Hemorrhage
Thrombosis
Veins
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