| Late postpartum eclampsia coincident with postdural puncture headache: a case report. | |
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MedLine Citation:
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PMID: 14625974 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Preeclampsia developed in this patient 4 days' postpartum. Visual changes, headache, and elevated blood pressures were present on arrival to the emergency department. Coincident with the preeclampsia was a postdural puncture headache complicating the diagnosis of late postpartum preeclampsia. Pregnancy-induced hypertension laboratory values were normal, and relief of the postdural headache and visual disturbances was obtained after placement of an epidural blood patch. Blood pressures continued to increase, however, and late postpartum eclampsia developed. We conclude that symptoms of a postdural puncture headache can mimic those of postpartum preeclampsia. Early recognition and treatment of postpartum preeclampsia may decrease patient mortality and morbidity by preventing late postpartum eclampsia. |
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Authors:
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Anthony W Winston; David Norman |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: AANA journal Volume: 71 ISSN: 0094-6354 ISO Abbreviation: AANA J Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-11-19 Completed Date: 2003-12-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0431420 Medline TA: AANA J Country: United States |
Other Details:
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Languages: eng Pagination: 371-2 Citation Subset: N |
Affiliation:
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Navy Nurse Corps Anesthesia Program, Naval School of Health Sciences, Portsmouth, Va., USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia, Epidural / adverse effects Anesthesia, Obstetrical / adverse effects Anticonvulsants / therapeutic use Antihypertensive Agents / therapeutic use Blood Patch, Epidural Blood Pressure Determination Diagnosis, Differential Epilepsy, Tonic-Clonic / etiology Female Headache / complications, diagnosis*, therapy Humans Hydralazine / therapeutic use Magnesium Sulfate / therapeutic use Pre-Eclampsia / complications, diagnosis*, drug therapy Pregnancy Puerperal Disorders / complications, diagnosis*, drug therapy Spinal Puncture / adverse effects* |
| Chemical | |
Reg. No./Substance:
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0/Anticonvulsants; 0/Antihypertensive Agents; 7487-88-9/Magnesium Sulfate; 86-54-4/Hydralazine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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