a 33-year-old woman with severe postpartum headache

نویسندگان

hosein delavar kasmaei

alireza baratloo assistant professor of emergency medicine, shohadaye tajrish hospital,shahid beheshti university of medical sciences, tehran, iran.

maryam soleymani

چکیده

patient was a 33-year-old woman underwent her first time cesarean section combined with spinal epidural anesthesia 5 days before and discharged the day after with good condition. she got severe headache with pain score about 8-9, 2 days after discharge from hospital. her headache was severe, bilateral, pulsatile and almost likely sudden onset accompanied with nausea that mildly progressed after starting. she went to the hospital which her delivery was taken; with impression of post dural puncture headache (pdph) 10mg iv morphine sulfate was administered totally and subsequently discharged home with relative decreased headache. the day after first headache attack, when she admitted in our hospital, claimed that could not hold her baby for breast feeding. in minimental status examination, time disorientation was obvious but orientation to place and person was intact. in motor examination we found right side hemiparesis and also decreased right upper and lower limbs tone. brain ct scan and then mri was performed and reveal massive cortico-subcortical hemorrhagic infarction on left parieto-occipital lobes. with attention due to significant nonhomogene occupying lesion, brain mri with gadolinium and also mrv was per-formed. what is your doagnosis?

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A 33-year-old woman with severe postpartum headache

Case presentation:1 atient was a 33-year-old woman underwent her first time cesarean section combined with spinal epidural anesthesia 5 days before and discharged the day after with good condition. She got severe headache with pain score about 8-9, 2 days after discharge from hospital. Her headache was severe, bilateral, pulsatile and almost likely sudden onset accompanied with nausea that mild...

متن کامل

A 33-year-old woman from Zimbabwe

with AIDS and a CD4 count of 6 cells/mm3, non-compliant with antiretroviral therapy, presented with severe headaches, vomiting, fevers, and a productive cough. Physical examination revealed tachycardia, a temperature of 39.4°C, clear lungs, and an absence of meningeal signs. Laboratory studies showed a white blood cell count of 4.8 and hemoglobin of 10.1 g/dL. A lumbar puncture was consistent w...

متن کامل

Gastrointestinal Tuberculosis with Cecum Involvement in a 33-Year-Old Woman

Abdominal tuberculosis is one of the most prevalent forms of extra-pulmonary tuberculosis. Various regions of gastrointestinal tract including cecum, terminal ileum, peritoneum, lymphatic system, and solid viscera can be affected by tuberculosis. Here we report a 33-year-old woman presented with fever, chills, and a history of abdominal discomfort. Lymphadenopathy was detected on physical exami...

متن کامل

A 53-year-old woman with a severe headache, bilateral eye pain, blurred vision, and photophobia.

A 53-year-old woman presented to our emergency department with a severe headache, bilateral eye pain, blurred vision and photophobia. She started oral topiramate 25 mg daily for migraine prophylaxis the evening before. Symptoms immediately started upon awakening, and she was brought to our emergency department. She reported a history of allergy to corticosteroids and gastric intolerance to oral...

متن کامل

A 52-year-old woman with headache and bradycardia.

Cardiac sarcoidosis should be suspected in young patients with cardiac symptoms, especially when there is concurrent personal or family history of sarcoidosis. While sarcoidosis is self-limiting in about 40% of cases, cardiac involvement portends a more ominous prognosis with higher mortality rates. The definitive diagnostic test for cardiac sarcoidosis is the endomyocardial biopsy, an invasive...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
emergency journal

جلد ۱، شماره ۱، صفحات ۲۷-۲۹

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023