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Case Reports in Medicine
Volume 2013 (2013), Article ID 701264, 3 pages
http://dx.doi.org/10.1155/2013/701264
Case Report

Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch

1Department of Neurology, Queen’s Hospital, Romford RM7 0AG, UK
2Department of Neuroradiology, Queen’s Hospital, Romford RM7 0AG, UK
3Department of Anaesthetics, Queen’s Hospital, Romford RM7 0AG, UK
4Department of Obstetrics & Gynaecology, Queen’s Hospital, Romford RM7 0AG, UK

Received 25 November 2012; Revised 21 January 2013; Accepted 12 February 2013

Academic Editor: Ingo W. Husstedt

Copyright © 2013 Etienne Laverse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 32-year-old woman presented with low pressure headache 3 days after delivery of her baby. An assessment of postdural puncture headache was made. This was initially treated with analgesia, caffeine, and fluids for the presumed cerebrospinal fluid (CSF) leak. The woman was readmitted two days after her hospital discharge with generalised seizures. A brain scan showed features of intracranial hypotension, and she was treated for CSF leak using an epidural blood patch. Her symptoms worsened and three days later, she developed a left homonymous quadrantanopia. An MRI scan confirmed a right parietal haematoma with evidence of isolated cortical vein thrombosis (ICVT).