Postpartum cavernous sinus thrombosis after a spinal anesthesia
DOI:
https://doi.org/10.25751/rspa.7692Keywords:
Anesthesia, Spinal, Cavernous Sinus Thrombosis, Headache, Post-Dural Puncture Headache, Postpartum Period, Puerperal DisordersAbstract
Headache is a common symptom in the postpartum period. Lately, there has been a raise in the number of regional analgesic and anesthetic techniques for delivery, raising the risk of post dural punction headache. However, the differential diagnosis of postpartum headache is extremely important, since non-recognized thrombotic phenomena can bring serious consequences.
The association between regional techniques and thrombotic phenomena is not very clear. However, some studies state that the transitory intracranial hypotension caused by these techniques can be enough to cause venous stasis which, in association with the hypercoagulable state of the postpartum, can cause cerebral venous thrombosis.
We present the case of a young woman who received a spinal block for a cesarean delivery and developed a headache. Initially this headache was diagnosed as post dural puncture headache, delaying the true diagnosis of cavernous sinus thrombosis.
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