Document Detail


Late postpartum eclampsia coincident with postdural puncture headache: a case report.
MedLine Citation:
PMID:  14625974     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Anthony W Winston; David Norman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AANA journal     Volume:  71     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-11-19     Completed Date:  2003-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  371-2     Citation Subset:  N    
Affiliation:
Navy Nurse Corps Anesthesia Program, Naval School of Health Sciences, Portsmouth, Va., USA.
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MeSH Terms
Descriptor/Qualifier:
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:
0/Anticonvulsants; 0/Antihypertensive Agents; 7487-88-9/Magnesium Sulfate; 86-54-4/Hydralazine

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