| CASE REPORT |
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| Year : 2012 | Volume
: 56
| Issue : 2 | Page : 183-185 |
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Seizures in the early post-partum period: A diagnostic dilemma
Sunil Jamadarkhana, Robert C Law
Department of Anaesthesia, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury SY3 8XQ, United Kingdom
Correspondence Address:
Sunil Jamadarkhana
7 Brackenhurst Drive, Moortown, Leeds LS17 6WE
United Kingdom
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5049.96339
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We discuss the differential diagnosis and management of early post-partum seizures and headache following a presumed dural puncture in a 20-year-old female. She initially presented with generalised tonic-clonic seizures preceded by nausea and headache on the fourth post-partum day along with a decreased Glasgow Coma Scale (8/15). Although clinical and laboratory examination including lumbar puncture, computerized tomography and magnetic resonance imaging were normal, a persistent headache was the only symptom. This headache improved dramatically after an epidural blood patch on the eighth post-partum day. The following discussion emphasises that various causes of post-partum seizures and headache should be considered before attributing it to dural puncture alone. |
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