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01-01-2012 | Maternal-Fetal Medicine

Sinus venous thrombosis: a differential diagnosis of postpartum headache

Authors: Maria Wittmann, Daniela Dewald, Horst Urbach, Anne-Sybil Gast, Michael Linnebank, Georg Baumgarten, Pascal Knuefermann, Rudolf Hering

Published in: Archives of Gynecology and Obstetrics | Issue 1/2012

Abstract

In this report, we describe a patient who developed severe headache following epidural analgesia for labor and delivery. Although the epidural puncture had been reported to be uneventful, headache was initially suspected to result from an accidental dural puncture. After the headache worsened, a sinus venous thrombosis was suspected and subsequently confirmed by magnetic resonance imaging. This case highlights the difficulty of differential diagnosis of headache in the postnatal period in patients after EDA and stresses the necessity of considering alternative pathologies.

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Title: Sinus venous thrombosis: a differential diagnosis of postpartum headache
Authors: Maria Wittmann
Daniela Dewald
Horst Urbach
Anne-Sybil Gast
Michael Linnebank
Georg Baumgarten
Pascal Knuefermann
Rudolf Hering
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 1/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-011-1964-0

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Sinus venous thrombosis: a differential diagnosis of postpartum headache

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