Anesthesia and Pain Medicine  2015;10(1):42-45

doi:10.17085/apm.2015.10.1.42

Posterior reversible encephalopathy syndrome after normal vaginal delivery: A case report.

Gwan Woo LEE 1 ; Jae Gyok SONG ; Seok Kon KIM ; Gyu Woon CHOE

Affiliations

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Keywords

Headache; Hypertension; Post-dural puncture headache; Posterior reversible encephalopathy; Seizure

Country

Republic of Korea

Language

English

Abstract

Benign primary headaches are common during the postpartum period. However, there are several other kinds of headaches caused by specific underlying pathologies like post-dural puncture headache (PDPH), pregnancy induced hypertension, cortical vein thrombosis, posterior reversible encephalopathy syndrome (PRES), subarachnoid hemorrhage, intracranial hemorrhage, brain tumor, and so on. These headaches are rare but each can be life threatening conditions when diagnosis is delayed. If a patient was treated for another type of headache, like a PDPH, the diagnosis would be even more difficult. We report on the case of a 24 year-old woman who suffered with PDPH followed by postpartum eclampsia with PRES.