Diagnosing causes of headache within the postpartum period

Stanhope, Emma; Foulds, Lynsey; Sayed, Gamal; Goldmann, Ute

doi:10.1080/01443615.2018.1444409

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Emma Stanhope et al [9], in order to establish a standardized approach for the management of patients with postpartum headache, tried to introduce a specific diagnostic tool, the PARTUM mnemonic: Pressure (blood pressure for pre-eclampsia/eclampsia), Anesthetic (post-dural puncture headache), Reversible (vasoconstriction syndrome), Thrombosis (cerebral venous sinus thrombosis, ischemic stroke), Use your brain (there are so many other causes of headache), and Migraine, which was first proposed by Lim et al [10]. The aim of this tool is to enable clinicians to identify the cause of postpartum headaches faster and to allow life threatening diagnoses to be quickly excluded [9].…”

Section: Discussionmentioning

confidence: 99%

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Don’t Forget Rare Causes of Postpartum Headache! Cases Report and Literature Review

et al. 2021

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Headache is a common finding in the postpartum period, caused by a spectrum of different conditions. Most headaches in the postpartum period are self-limiting and benign in etiology, but there are some potentially serious causes to be considered. We disclose two cases of postpartum headache, initially considered as post-dural puncture headache (PDPH), that evolved into a harmful condition and showed that an expanded differential diagnosis for headache in the postpartum is mandatory, requiring a high level of attention from health professionals. In fact, a careful examination of the medical history, physical examination, and the recognition for the need for early neuroradiological imaging should incre[se diagnostic accuracy.

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Section: Discussionmentioning

confidence: 99%

“…Because of the multiple potential etiologies and complications that may evolve, the identification of potentially harmful etiologies is of paramount importance for clinicians who need to quickly exclude or confirm potentially life-threatening diagnoses [9].…”

Section: Introductionmentioning

confidence: 99%

Don’t Forget Rare Causes of Postpartum Headache! Cases Report and Literature Review

et al. 2021

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“…Though the vast majority are caused by primary headache disorders, 4.7% are due to postdural puncture etiologies [1]. As this population is at particular risk for hypertensive and hypercoagulable disorders, other emergent considerations for postpartum headaches in the emergency department (ED) should be considered; these include postpartum pre-eclampsia, cerebral vascular accidents (CVA), venous sinus thrombosis (VST), and reversible cerebral vasoconstrictive syndrome [2][3][4]. Subdural hematomas (SDH) secondary to epidural placement is a rare but serious etiology of postpartum headache, with an estimated incidence of one in 500,000 intrapartum epidural anesthesia placements [5].…”

Section: Introductionmentioning

confidence: 99%

Postpartum Bilateral Subdural Hematomas: A Case Report

Bridwell¹,

Larson²,

Baker³

et al. 2020

Cureus

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Postpartum headache is a common emergency department (ED) complaint in women following delivery. Though the majority of these headaches are due to primary headache disorders or postdural puncture headaches, life-threatening complications can occur. Both postpartum pre-eclampsia can occur as well as hypercoagulable and vascular disorders including stroke, venous sinus thrombosis (VST), and reversible cerebral vasoconstrictive syndrome. With the increasing use of epidurals for intrapartum analgesia, rare, dangerous complications can present in a similar fashion. The authors present a persistent postpartum headache secondary to bilateral subdural hematomas (SDH) from epidural induced intracranial hypotension.

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