Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch

A 32-year-old woman presented with low pressure headache 3 days after delivery of her baby. An assessment of postdural puncture headache was made. This was initially treated with analgesia, caffeine, and fluids for the presumed cerebrospinal fluid (CSF) leak. The woman was readmitted two days after...

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Main Authors: Etienne Laverse, Sarah Cader, Rajith de Silva, Sanjiv Chawda, Satish Kapoor, Olaleye Thompson
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/701264
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author Etienne Laverse
Sarah Cader
Rajith de Silva
Sanjiv Chawda
Satish Kapoor
Olaleye Thompson
author_facet Etienne Laverse
Sarah Cader
Rajith de Silva
Sanjiv Chawda
Satish Kapoor
Olaleye Thompson
author_sort Etienne Laverse
collection DOAJ
description A 32-year-old woman presented with low pressure headache 3 days after delivery of her baby. An assessment of postdural puncture headache was made. This was initially treated with analgesia, caffeine, and fluids for the presumed cerebrospinal fluid (CSF) leak. The woman was readmitted two days after her hospital discharge with generalised seizures. A brain scan showed features of intracranial hypotension, and she was treated for CSF leak using an epidural blood patch. Her symptoms worsened and three days later, she developed a left homonymous quadrantanopia. An MRI scan confirmed a right parietal haematoma with evidence of isolated cortical vein thrombosis (ICVT).
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publishDate 2013-01-01
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series Case Reports in Medicine
spelling doaj-art-3998392c743a41c4becda3ef68c96f4b2025-02-03T01:07:52ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/701264701264Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood PatchEtienne Laverse0Sarah Cader1Rajith de Silva2Sanjiv Chawda3Satish Kapoor4Olaleye Thompson5Department of Neurology, Queen’s Hospital, Romford RM7 0AG, UKDepartment of Neurology, Queen’s Hospital, Romford RM7 0AG, UKDepartment of Neurology, Queen’s Hospital, Romford RM7 0AG, UKDepartment of Neuroradiology, Queen’s Hospital, Romford RM7 0AG, UKDepartment of Anaesthetics, Queen’s Hospital, Romford RM7 0AG, UKDepartment of Obstetrics & Gynaecology, Queen’s Hospital, Romford RM7 0AG, UKA 32-year-old woman presented with low pressure headache 3 days after delivery of her baby. An assessment of postdural puncture headache was made. This was initially treated with analgesia, caffeine, and fluids for the presumed cerebrospinal fluid (CSF) leak. The woman was readmitted two days after her hospital discharge with generalised seizures. A brain scan showed features of intracranial hypotension, and she was treated for CSF leak using an epidural blood patch. Her symptoms worsened and three days later, she developed a left homonymous quadrantanopia. An MRI scan confirmed a right parietal haematoma with evidence of isolated cortical vein thrombosis (ICVT).http://dx.doi.org/10.1155/2013/701264
spellingShingle Etienne Laverse
Sarah Cader
Rajith de Silva
Sanjiv Chawda
Satish Kapoor
Olaleye Thompson
Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch
Case Reports in Medicine
title Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch
title_full Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch
title_fullStr Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch
title_full_unstemmed Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch
title_short Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch
title_sort peripartum isolated cortical vein thrombosis in a mother with postdural puncture headache treated with an epidural blood patch
url http://dx.doi.org/10.1155/2013/701264
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