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Case Reports
Postpartum Headache due to Cerebellar Infarct Initially Misdiagnosed as Postdural Puncture Headache: A Case Report.
- Shokrollah Zandi, Atcheson Carrie Leigh Hamby CLH Oregon Anesthesiology Group, Department of Anesthesiology, Legacy Emanuel Medical Center, Portland, Oregon., Seyedeh Reyhaneh Yousefi, Farhad Zahedi, Sadafsadat Mirkarimi, and Karim Nasseri.
- From the Department of Neurosurgery, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
- A A Pract. 2020 Apr 1; 14 (6): e01190.
AbstractWe present the case of a 39-year-old woman with postpartum cerebellar infarction (CI) following spinal anesthesia for cesarean delivery. The patient experienced mild headache after postoperative day 1 and returned on postoperative day 6 with a severe headache. For the subsequent 3 days, she underwent conservative treatment for presumed postdural puncture headache (PDPH) before neurologic decline and diagnosis of CI on postoperative day 9. She subsequently underwent craniotomy and debridement of necrotic tissues. Prolonged or position-independent postpartum headache should prompt broadening of the differential diagnosis beyond PDPH to include other more rare but serious causes of postpartum headache.
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