scholarly journals Intracranial Venous Thrombosis in the Parturient

2007 ◽  
Vol 107 (4) ◽  
pp. 652-658 ◽  
Author(s):  
Ellen M. Lockhart ◽  
Curtis L. Baysinger ◽  
David C. Warltier
Keyword(s):  
Venous Thrombosis ◽  
Regional Anesthesia ◽  
Dural Puncture ◽  
Clinical Presentation ◽  
Case Reports ◽  
Women Of Childbearing Age ◽  
Postdural Puncture Headache ◽  
Childbearing Age ◽  
Post Dural Puncture Headache ◽  
Presenting Symptoms

Intracranial venous thrombosis is a rare but potentially fatal complication of pregnancy and the postpartum period. The presenting symptoms can mimic those of a postdural puncture headache and are easily misdiagnosed, especially in a parturient who has undergone regional anesthesia. The incidence of 10-20 per 100,000 is likely higher than reported. The etiology, clinical presentation and course, risk factors, management, and relation of intracranial venous thrombosis to pregnancy are presented. Published case reports and series of intracranial venous thrombosis that have either occurred during the puerperium or involved women of childbearing age after dural puncture are summarized. Finally, the diagnosis and management of intracranial venous thrombosis in parturients, focusing on parturients who have undergone regional anesthesia, is discussed. When intracranial venous thrombosis occurs in a parturient after regional anesthesia, it is often treated as a post-dural puncture headache.

scholarly journals Idiopathic Granulomatous Mastitis Presenting as a Breast Pseudotumor: Case Reports with Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Nour Abdul Halim ◽  
Imad Uthman ◽  
Rayan Rammal ◽  
Hazem I. Assi
Keyword(s):  
Clinical Presentation ◽  
Case Reports ◽  
Radiographic Finding ◽  
Breast Disease ◽  
Granulomatous Mastitis ◽  
Women Of Childbearing Age ◽  
Review Of The Literature ◽  
Childbearing Age ◽  
Idiopathic Granulomatous Mastitis ◽  
History Of

Idiopathic granulomatous mastitis is a rare benign inflammatory breast disease that affects women of childbearing age with a history of breastfeeding. It usually presents as an enlarging breast mass that can greatly mimic breast cancer. Moreover, it does not have a specific radiographic finding, so the only way to reach a definitive diagnosis is by core biopsy and histology. Furthermore, a consensus regarding the best treatment modality has not been reached yet. In this report, we describe the cases of two patients who suffered from this disease, and to our knowledge, such a report is the first of its kind to address this topic in this region. Therefore, because of its uncommon nature and obscure presentation, we hereby report two cases of idiopathic granulomatous mastitis. The clinical presentation, treatment, and pathological findings are described, and a literature review on idiopathic granulomatous mastitis will be reported.

scholarly journals Postpartum Postural Orthostatic Tachycardia Syndrome in a Patient with the Joint Hypermobility Syndrome

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Khalil Kanjwal ◽  
Beverly Karabin ◽  
Yousuf Kanjwal ◽  
Blair P. Grubb
Keyword(s):  
Clinical Presentation ◽  
Joint Hypermobility ◽  
Tilt Test ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Hypermobility Syndrome ◽  
Joint Hypermobility Syndrome ◽  
Head Up Tilt ◽  
Head Up Tilt Test

Postural orthostatic tachycardia syndrome (POTS) commonly affects women of childbearing age. We report on a 37-year-old woman who developed symptoms of recurrent syncope in the postpartum period. Her head up tilt test and clinical presentation was consistent with POTS.

scholarly journals SEVERE POSTDURAL PUNCTURE HEADACHE: CASE OF PRACTICE

2019 ◽  
pp. 82-84
Author(s):  
T. I. Negrych ◽  
S. Ya. Kyryliuk ◽  
M. I. Bozhenko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Case ◽  
Dural Puncture ◽  
Resonance Imaging ◽  
Postdural Puncture Headache ◽  
Post Dural Puncture Headache ◽  
Antiemetic Drugs ◽  
Rounded Form ◽  
The Brain ◽  
Positive Effect

Headache is one of the most common complications after lumbal punction or epidural anesthesia. The article presents a clinical case of post dural puncture headache in a 26-year-old woman, 25 days long. An intracranial hypotension was confirmed by the help of magnetic resonance imaging of the brain, a pituitary gland with a slightly convex upper contour and a rounded form of transverse venous sinus were found. Positive effect of rehidratation, analgesics, non-steroid anti-inflammatory and antiemetic drugs and drugs of caffeine in the treatment of post-dural puncture headache was noted.

scholarly journals SEVERE POSTDURAL PUNCTURE HEADACHE: CASE OF PRACTICE

2019 ◽  
pp. 82-84
Author(s):  
T. I. Negrych ◽  
S. Ya. Kyryliuk ◽  
M. I. Bozhenko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Case ◽  
Dural Puncture ◽  
Resonance Imaging ◽  
Postdural Puncture Headache ◽  
Post Dural Puncture Headache ◽  
Antiemetic Drugs ◽  
Rounded Form ◽  
The Brain ◽  
Positive Effect

Headache is one of the most common complications after lumbal punction or epidural anesthesia. The article presents a clinical case of post dural puncture headache in a 26-year-old woman, 25 days long. An intracranial hypotension was confirmed by the help of magnetic resonance imaging of the brain, a pituitary gland with a slightly convex upper contour and a rounded form of transverse venous sinus were found. Positive effect of rehidratation, analgesics, non-steroid anti-inflammatory and antiemetic drugs and drugs of caffeine in the treatment of post-dural puncture headache was noted.

scholarly journals The spinal headache in pregnant women

1970 ◽  
Vol 1 (2) ◽  
pp. 4-9
Author(s):  
Krzysztof M Kuczkowski
Keyword(s):  
Pregnant Women ◽  
Subarachnoid Space ◽  
Dural Puncture ◽  
Intrathecal Injection ◽  
Epidural Needle ◽  
Postdural Puncture Headache ◽  
Widespread Application ◽  
Post Dural Puncture Headache ◽  
Prevention And Treatment ◽  
Spinal Epidural

Pregnant women are at particular risk of dural puncture (and the subsequent headache) because of sex, young age, and the widespread application of regional anesthesia. The incidence of epidural needle-induced post-dural puncture headache (PDPH) also known as spinal headache in pregnant women following dural puncture with a large bore needle has been reported to range 76-85%. Although a few measures have been proposed to prevent PDPH Intrathecal injection of saline, insertion of the epidural catheter into the subarachnoid space through the dural hole, none have been shown to work with certainty to date. This article reviews the latest developments aimed at prevention and treatment of this debilitating condition. Key Words: Labor analgesia; epidural, combined spinal epidural; complications, dural puncture, postdural puncture headache (PDPH); prevention.   doi:10.3126/njog.v1i2.1486 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 4 - 9 Nov-Dem 2006

scholarly journals NEUROLOGICAL COMPLICATIONS OF REGIONAL ANESTHESIA

2018 ◽  
Vol 12 (1) ◽  
pp. 6-14
Author(s):  
Alexei M. Ovechkin ◽  
M. E Politov ◽  
D. V Morozov
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Regional Anesthesia ◽  
Peripheral Nerves ◽  
Epidural Hematoma ◽  
Dural Puncture ◽  
Preventive Measures ◽  
Neurological Complications ◽  
Headache Frequency ◽  
Post Dural Puncture Headache

In the review, neurological complications associated with regional anesthesia are discussed: epidural hematoma (frequency 0.0008 to 0.2%), spinal cord or peripheral nerves injury during puncture or catheter placement (frequency from 0.5 to 1%), post-dural puncture headache (frequency from 0.16 to 6% in obstetrics), transient neurologic syndrome (frequency from 0 to 37%, most often after spinal anesthesia with lidocaine), Horner’s syndrome (frequency from 0.13 to 2.5%). Epidemiology, risk factors, preventive measures, and management of neurological complications associated with regional anesthesia are presented.

Isolated bilateral coronary ostial stenosis

2020 ◽  
pp. 61-65
Author(s):  
Dmitriy Kovalev
Keyword(s):  
Risk Factors ◽  
Coronary Artery ◽  
Unstable Angina ◽  
Clinical Presentation ◽  
Coronary Artery Stenosis ◽  
Rare Condition ◽  
Vascular Lesions ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Coronary Ostial Stenosis

Coronary artery stenosis is a very rare condition in women of childbearing age without previous risk factors for atherosclerosis. A case of severe isolated bilateral coronary ostial stenosis, which manifested itself as a clinical presentation of unstable angina, was described. It led to the hospitalization of a 34-year-old woman in the cardiology hospital. Further examination revealed syphilitic origin of vascular lesions.

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