Postural Headache in the Presence of Cerebral Venous Sinus Thrombosis | Zendy

Ludmil Todorov | Zendy; Charles E. Laurito | Zendy; David E. Schwartz | Zendy

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Postural Headache in the Presence of Cerebral Venous Sinus Thrombosis

Author(s) -

Ludmil Todorov,

Charles E. Laurito,

David E. Schwartz

Publication year - 2005

Publication title -

anesthesia and analgesia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.404

H-Index - 201

eISSN - 1526-7598

pISSN - 0003-2999

DOI - 10.1213/01.ane.0000181003.37968.cb

Subject(s) - medicine , cerebral venous sinus thrombosis , venous thrombosis , anesthesia , magnetic resonance imaging , thrombosis , surgery , radiology

Cerebral venous sinus thrombosis (CVST) can present with a headache similar to that after a dural puncture. We report on a patient who developed postural headache after epidural anesthesia for delivery. The headache became more intense during the following 6 days, and the patient had a tonic clonic seizure. A magnetic resonance angiogram demonstrated CSVT, and anticoagulation therapy was started, with resolution of the symptoms over 2 wk. Any postdural-puncture headache that loses its positional character, becomes persistent, or does not improve with a properly performed blood patch should raise the suspicion of CVST.

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