Acute Postpartum Headache

Glover, Robert L.; Vollbracht, Sarah; Robbins, Matthew S.

doi:10.1111/head.12385

Cited by 8 publications

(2 citation statements)

References 61 publications

(156 reference statements)

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“…Other less frequent causes may include spontaneous intracranial hypotension, intracranial infection, acute hypertensive crisis, ischemic stroke, and primary thunderclap headache. 6 Pneumocephalus is defined as the presence of intracranial gas, including the intraventricular, intraparenchymal, subarachnoid, subdural, and epidural compartments. It is more commonly encountered in the setting of neurosurgical procedures or craniofacial trauma.…”

Section: Discussionmentioning

confidence: 99%

Pneumocephalus associated with epidural and spinal anesthesia for labor

2015

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Headache resulting from dural puncture in epidural and spinal anesthesia is usually secondary to a CSF leak. Pneumocephalus may also occur in this setting but has not been well-characterized. Although the risk factors for a CSF leak and pneumocephalus may overlap, their rates, clinical features, and treatments may be different. Our retrospective review of 182 patients with acute headache in the antepartum, peripartum, and postpartum settings yielded a 5:1 ratio of postdural puncture headache to pneumocephalus. The 3 patients with pneumocephalus had the defining characteristic of thunderclap headache during anesthesia. Early diagnosis is helpful as treatment with supplemental oxygen may hasten recovery. Pneumocephalus should be considered as a possible etiology of thunderclap headache in the setting of epidural and spinal anesthesia.

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Section: Discussionmentioning

confidence: 99%

Pneumocephalus associated with epidural and spinal anesthesia for labor

2015

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“…Up to 40% of patients with CADASIL initially present with headaches similar to migraine with aura, even more so during and around the time of pregnancy [57][58][59][60]. One-third of cases present with migraine-with-aura-like headaches when patients are in their thirties and progress to recurrent small deep strokes and subcortical dementia about 15 years later [61].…”

Section: Headache Attributed To Cerebral Autosomal Dominant Arteriopa...mentioning

confidence: 99%

Cognitive Impairment in Primary and Secondary Headache Disorders

Dhaem

Robbins

2022

Curr Pain Headache Rep

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Purpose of ReviewTo critically evaluate the recent literature on cognitive impairment and headache. Recent Findings Neurocognitive symptoms are prevalent, debilitating, and occur often with both primary and secondary headache disorders. Summary This is a "narrative review of the current literature in PubMed on cognitive function and headache." Migraine is associated with cognitive impairment years before a migraine diagnosis. In young and middle-aged adults, migraine is associated with deficits in attention, executive function, processing speed, and memory. It is unlikely that migraine is associated with dementia. Although methodologically difficult to assess, there does not seem to be an association between tension-type headache and cognitive dysfunction. In early to midlife, cluster headache seems to be associated with executive dysfunction. Several secondary headache syndromes relevant to clinicians managing headache disorders are associated with poorer cognitive performance or distinctive cognitive patterns, including those attributed to chronic cerebral or systemic vascular disorders, trauma, and derangements of intracranial pressure and volume, including frontotemporal brain sagging syndrome.

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