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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Postpartum headache: A broader differential.

Anton Nikouline1, David Carr2

  • 1Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Canada.

The American Journal of Emergency Medicine
|July 29, 2020
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Summary
This summary is machine-generated.

Postpartum headaches can signal lymphocytic hypophysitis (LH), a rare pituitary inflammation. Early diagnosis and steroid treatment lead to complete recovery, making LH a crucial consideration for postpartum headaches.

Keywords:
Emergency medicineHeadacheHypopituitarismPregnancyautoimmune hypophysitis

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Area of Science:

  • Endocrinology
  • Neurology
  • Obstetrics

Background:

  • Postpartum headaches are common, but serious underlying causes can be missed.
  • Lymphocytic hypophysitis (LH) is a rare autoimmune condition affecting the pituitary gland.
  • Acute LH can present with severe symptoms, including potential for sudden death.

Observation:

  • A 40-year-old female presented with intermittent headaches 8 days postpartum.
  • She was incidentally found to be hyponatremic during work-up.
  • Diagnosis of postpartum lymphocytic adenohypophysitis was confirmed.

Findings:

  • The patient was successfully treated with corticosteroids.
  • Complete resolution of symptoms was achieved with a steroid taper.
  • Lymphocytic hypophysitis is a treatable cause of postpartum headache.

Implications:

  • LH should be included in the differential diagnosis for postpartum headaches.
  • Screening for LH with history and routine bloodwork is recommended.
  • Early intervention for LH yields favorable patient outcomes.