Seizures in the early post-partum period: A diagnostic dilemma

Indian Journal of Anaesthesia

关键词: Dural puncture;    post-partum period;    seizures;   

DOI  :  10.4103/0019-5049.96339

来源: DOAJ

【 摘 要 】

We discuss the differential diagnosis and management of early post-partum seizures and headache following a presumed dural puncture in a 20-year-old female. She initially presented with generalised tonic-clonic seizures preceded by nausea and headache on the fourth post-partum day along with a decreased Glasgow Coma Scale (8/15). Although clinical and laboratory examination including lumbar puncture, computerized tomography and magnetic resonance imaging were normal, a persistent headache was the only symptom. This headache improved dramatically after an epidural blood patch on the eighth post-partum day. The following discussion emphasises that various causes of post-partum seizures and headache should be considered before attributing it to dural puncture alone.

【 授权许可】

Unknown