Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia

Pregnancy is a hypercoagulable state that increases the risk of thrombotic complications. A 32-year-old gravida 4 para 3 (G4P3) had a dural puncture during epidural catheter placement for labor analgesia. A positional headache started after delivery and continued for several days. A week after the d...

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Detalles Bibliográficos
Autores principales: Niazi, Azfar K, Minko, Paul, Elliott, Kavita K, Ghaly, Tamer R, Ayad, Sabry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682386/
https://www.ncbi.nlm.nih.gov/pubmed/31404378
http://dx.doi.org/10.7759/cureus.4822
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author Niazi, Azfar K
Minko, Paul
Elliott, Kavita K
Ghaly, Tamer R
Ayad, Sabry
author_facet Niazi, Azfar K
Minko, Paul
Elliott, Kavita K
Ghaly, Tamer R
Ayad, Sabry
author_sort Niazi, Azfar K
collection PubMed
description Pregnancy is a hypercoagulable state that increases the risk of thrombotic complications. A 32-year-old gravida 4 para 3 (G4P3) had a dural puncture during epidural catheter placement for labor analgesia. A positional headache started after delivery and continued for several days. A week after the delivery, she developed non-positional headaches along with seizures. Magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) lead to the diagnosis of cerebral venous thrombosis (CVT). A factor V Leiden mutation was also found; that was suspected to contribute to the development of CVT along with dural puncture and pregnancy. CVT can present with non-positional headaches a week after the dural puncture.
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spelling pubmed-66823862019-08-09 Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia Niazi, Azfar K Minko, Paul Elliott, Kavita K Ghaly, Tamer R Ayad, Sabry Cureus Anesthesiology Pregnancy is a hypercoagulable state that increases the risk of thrombotic complications. A 32-year-old gravida 4 para 3 (G4P3) had a dural puncture during epidural catheter placement for labor analgesia. A positional headache started after delivery and continued for several days. A week after the delivery, she developed non-positional headaches along with seizures. Magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) lead to the diagnosis of cerebral venous thrombosis (CVT). A factor V Leiden mutation was also found; that was suspected to contribute to the development of CVT along with dural puncture and pregnancy. CVT can present with non-positional headaches a week after the dural puncture. Cureus 2019-06-04 /pmc/articles/PMC6682386/ /pubmed/31404378 http://dx.doi.org/10.7759/cureus.4822 Text en Copyright © 2019, Niazi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Niazi, Azfar K
Minko, Paul
Elliott, Kavita K
Ghaly, Tamer R
Ayad, Sabry
Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia
title Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia
title_full Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia
title_fullStr Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia
title_full_unstemmed Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia
title_short Cerebral Venous Thrombosis After a Possible Inadvertent Dural Puncture for Labor Epidural Analgesia
title_sort cerebral venous thrombosis after a possible inadvertent dural puncture for labor epidural analgesia
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682386/
https://www.ncbi.nlm.nih.gov/pubmed/31404378
http://dx.doi.org/10.7759/cureus.4822
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