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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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. i 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. Preuzeto s 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, br. 4, 2012, str. 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 i 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, br. 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), str. 379-385. Preuzeto s: https://urn.nsk.hr/urn:nbn:hr:184:879745 (Datum pristupa: 03.12.2024.)

Župan Ž, Sotošek Tokmadžić V, Matanić Manestar M, Šustić A, Antončić I, Dunatov S, i 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. [pristupljeno 03.12.2024.];53(4):379-385. Dostupno na: 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, br. 4, str. 379-385, 2012. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:184:879745. [Citirano: 03.12.2024.]

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Naslov (engleski)Simultaneous appearance of cerebral venous thrombosis and subdural hematomas as rare cause of headache in puerperium following epidural analgesia: a case report
AutorŽeljko Župan
AutorVlatka Sotošek Tokmadžić
AutorMarinka Matanić-Manestar
AutorAlan Šustić
AutorIgor Antončić
AutorSiniša Dunatov
AutorIvan Pavlović
Autorova ustanovaSveučilište u Rijeci
Medicinski fakultet
(Katedra za anesteziologiju, reanimatologiju, hitnu i intenzivnu medicinu)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Anesteziologija i reanimatologija
Sažetak (engleski)
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.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Prikaz slučaja
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaCroatian Medical Journal
Brojčani podacivol. 53, br. 4, str. 379-385
p-ISSN0353-9504
e-ISSN1332-8166
URN:NBNurn:nbn:hr:184:879745
Datum objave publikacije2012
URL dokumentahttps://hrcak.srce.hr/86025
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno-Bez prerada 4.0 međunarodna (CC BY-NC-ND 4.0)
Datum i vrijeme pohrane2022-04-01 13:28:49