Post‐delivery postural headache: not always a classical post‐dural puncture headache

We report a parturient complaining of headache after spinal and epidural labour analgesia with neurological deterioration following an epidural blood patch. Further investigation revealed a medulloblastoma within the fourth ventricle. The patient underwent an operation 4 days after the diagnosis, bu...

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Veröffentlicht in:	Acta anaesthesiologica Scandinavica 2007-07, Vol.51 (6), p.763-765
Hauptverfasser:	Eede, H. Vanden, Hoffmann, V. L. H., Vercauteren, M. P.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Analgesia Anesthesia Anesthesia, Epidural - adverse effects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Delivery, Obstetric Delivery. Postpartum. Lactation epidural blood patch Female Gynecology. Andrology. Obstetrics Headache - etiology Humans labour Medical sciences medulloblastoma Medulloblastoma - diagnosis Medulloblastoma - surgery Neurology Posture post‐dural puncture headache Pregnancy Punctures spinal Treatment Outcome Tumors of the nervous system. Phacomatoses
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Zusammenfassung:	We report a parturient complaining of headache after spinal and epidural labour analgesia with neurological deterioration following an epidural blood patch. Further investigation revealed a medulloblastoma within the fourth ventricle. The patient underwent an operation 4 days after the diagnosis, but died 2 years later. The consequences of the use of neuraxial analgesia and epidural blood patch in the treatment of post‐dural puncture headache in this kind of pathology are discussed.
ISSN:	0001-5172 1399-6576
DOI:	10.1111/j.1399-6576.2007.01331.x