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Peripartum isolated cortical vein thrombosis in a mother with postdural puncture headache treated with an epidural

Etienne Laverse1, Sarah Cader, Rajith de Silva

  • 1Department of Neurology, Queen's Hospital, Romford RM7 0AG, UK.

Case Reports in Medicine
|March 28, 2013
PubMed

A 32-year-old woman presented with low pressure headache 3 days after delivery of her baby. An assessment of postdural puncture headache was made. This was initially treated with analgesia, caffeine, and fluids for the presumed cerebrospinal fluid (CSF) leak. The woman was readmitted two days after her hospital discharge with generalised seizures. A brain scan showed features of intracranial hypotension, and she was treated for CSF leak using an epidural blood patch. Her symptoms worsened and three days later, she developed a left homonymous quadrantanopia. An MRI scan confirmed a right parietal haematoma with evidence of isolated cortical vein thrombosis (ICVT).

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