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BJA Advance Access published online on June 25, 2004

British Journal of Anaesthesia, doi:10.1093/bja/aeh198
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted April 13, 2004

Case Report

Postpartum post-dural puncture headache: is your differential diagnosis complete?

C. P. Bleeker 1*, I. M. Hendriks 1, L. H. D. J. Booij 1

1 Department of Anaesthesiology, St Radboud University Medical Centre, Nijmegen, The Netherlands

* To whom correspondence should be addressed. E-mail: c.bleeker{at}anes.umcn.nl.


   Abstract

We describe a patient with an intracerebral haemorrhage following an accidental dural puncture during an attempted epidural for pain relief in labour. Anaesthetists need to include intracerebral haemorrhage in the differential diagnosis of post-dural puncture headache in the puerperium.

Keywords: anaesthetic techniques, epidural blood patch; brain, intracerebral haemorrhage; complications, dural puncture; pregnancy.
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