prikaz prve stranice dokumenta Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report
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Scientific paper - Case study
Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report
Croatian Medical Journal, 53 (2012), 4; 379-385. urn:nbn:hr:184:879745
Župan, Željko; Sotošek Tokmadžić, Vlatka; Matanić-Manestar, Marinka; Šustić, Alan; Antončić, Igor; Dunatov, Siniša; Pavlović, Ivan

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Župan, Ž., Sotošek Tokmadžić, V., Matanić Manestar, M., Šustić, A., Antončić, I., Dunatov, S. & Pavlović, I. (2012). Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report. Croatian Medical Journal, 53. (4), 379-385. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:879745

Župan, Željko, et al. "Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report." Croatian Medical Journal, vol. 53, no. 4, 2012, pp. 379-385. https://urn.nsk.hr/urn:nbn:hr:184:879745

Župan, Željko, Vlatka Sotošek Tokmadžić, Marinka Matanić Manestar, Alan Šustić, Igor Antončić, Siniša Dunatov and Ivan Pavlović. "Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report." Croatian Medical Journal 53, no. 4 (2012): 379-385. https://urn.nsk.hr/urn:nbn:hr:184:879745

Župan, Ž., et al. (2012) 'Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report', Croatian Medical Journal, 53(4), pp. 379-385. Available at: https://urn.nsk.hr/urn:nbn:hr:184:879745 (Accessed 18 March 2025)

Župan Ž, Sotošek Tokmadžić V, Matanić Manestar M, Šustić A, Antončić I, Dunatov S, and sur.. Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report. Croatian Medical Journal [Internet]. 2012 [cited 2025 March 18];53(4):379-385. Available at: https://urn.nsk.hr/urn:nbn:hr:184:879745

Ž. Župan, et al., "Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report", Croatian Medical Journal, vol. 53, no. 4, pp. 379-385, 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:879745. [Accessed: 18 March 2025]

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Metadata
Title (english)Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report
AuthorŽeljko Župan
AuthorVlatka Sotošek Tokmadžić
AuthorMarinka Matanić-Manestar
AuthorAlan Šustić
AuthorIgor Antončić
AuthorSiniša Dunatov
AuthorIvan Pavlović
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Anaesthesiology,reanimatology and Intensive Care)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract (english)
Abstract The aim of this study is to report the first case of simultaneous appearance of cerebral venous thrombosis (CVT) and bilateral subdural hematomas (SDHs) following epidural analgesia for labor and delivery and to point out the difficulty of establishing such a diagnosis in the presence of postpartum headache. A 26-year old primigravida with a history of epilepsy received epidural analgesia for delivery. Three days after the uneventful spontaneous vaginal delivery she complained about the headache. Patient responded very well to the pain medication and oral hydration, and the headache was relieved. Ten days after the delivery, the headache reoccurred, and an epidural blood patch was performed that successfully relieved her symptom. Stronger progressive headache with nausea reappeared two days later and the parturient was readmitted to hospital. Urgent neuroimaging examinations detected CVT of right the transverse sinus, ipsilateral cortical veins, and partially occluded superior sagittal sinus, as well as bilateral subacute/chronic SDHs. The treatment of the patient with low molecular weight heparin and antiaggregation therapy was effective. In this case, the diagnosis was delayed because of atypical clinical presentation and potentially confounding events (epidural analgesia and assumption that it was a case of PDPH). It is important to carefully observe patients in such conditions and promptly conduct suitable diagnostic tests. Otherwise, unrecognized intracranial complications and delay of appropriate therapy could be life-threatening.
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 53, no. 4, pp. 379-385
p-ISSN0353-9504
e-ISSN1332-8166
URN:NBNurn:nbn:hr:184:879745
Publication2012
Document URLhttps://hrcak.srce.hr/86025
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2022-04-01 13:28:49