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British Journal of Anaesthesia, 2002, Vol. 89, No. 5 782-785
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Unexplained fitting in three parturients suffering from postdural puncture headache

C. D. Oliver*,1,2 and S. A. White1,3

1 Whipps Cross Hospital, Whipps Cross Road, Leytonstone, London E11 1NR, UK 2 Present address: Department of Anaesthetics, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK. 3 Present address: Department of Anaesthetics, Royal London Hospital, Whitechapel, London E1 1BB, UK*Corresponding author

We present the cases of three women who, within a 6-month period, suffered post-partum generalized tonic–clonic seizures. All had received an epidural in labour for analgesia and were subsequently diagnosed as suffering from postdural puncture headache. All were treated for that headache with Synacthen and one also received sumatriptan before her seizures. All made satisfactory recoveries and were discharged home. None displayed classical patterns suggestive of pre-eclampsia, meningitis, cortical venous thrombosis or any other pathological process that might explain these events adequately, and the specific precipitating factors were left unidentified.

Br J Anaesth 2002; 89: 782–5


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