Premium
A ‘postspinal headache’ associated with incidental intracranial pathology
Author(s) -
DUTTON D. A.
Publication year - 1991
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1991.tb09920.x
Subject(s) - medicine , hydrocephalus , shunt (medical) , forceps , intracranial pressure , obstructive hydrocephalus , spinal anesthesia , intracranial hypotension , surgery , anesthesia , cerebrospinal fluid , radiology , pathology
Summary A 28‐year‐old woman developed symptoms of raised intracranial pressure associated with an obstructive hydrocephalus following a spinal anaesthetic administered for a Kiellands rotation forceps delivery. A diagnosis of an unverified pineal body tumour was made after computerised axial tomography scanning and the symptoms were effectively treated by the insertion of a ventriculo‐peritoneal shunt. This unusual case demonstrates the importance of careful history taking and neurological examination where symptoms of postspinal headache persist.