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[Cerebral venous thrombosis after dural punture - three cases].

Authors :
Palmgren J
Halldorsdottir H
Hein A
Source :
Lakartidningen [Lakartidningen] 2022 Feb 28; Vol. 119. Date of Electronic Publication: 2022 Feb 28.
Publication Year :
2022

Abstract

Cerebral venous thrombosis (CVT) is a rare form of cerebrovascular disease. There seems to be a relationship between intracranial hypotension due to dural puncture and CVT but causality is uncertain. Headache is common in the obstetric population, frequently preceded by epidural anesthesia. Furthermore, the risk of thromboembolic complication is increased in the postpartum period. Therefore, the symtoms of postdural puncture headache (PDPH) and CVT constitute a diagnostic challenge. Headache not responding to epidural blood patch or reappearing after epidural blood patch as well as headache changing in character indicates further investigation with adequate neuroimaging of the brain. We describe three cases of CVT following dural puncture and intracranial hypotension with the aim to raise awareness of this clinical condition.

Details

Language :
Swedish
ISSN :
1652-7518
Volume :
119
Database :
MEDLINE
Journal :
Lakartidningen
Publication Type :
Academic Journal
Accession number :
35226351