{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T09:42:07Z","timestamp":1773481327269,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T00:00:00Z","timestamp":1645660800000},"content-version":"vor","delay-in-days":54,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Seizures are a rare, but documented, consequence of accidental dural puncture and epidural blood patch. They are also the cardinal feature of eclampsia. We present a postpartum patient who suffered a tonic\u2010clonic seizure within 1\u00a0hour of an epidural blood patch procedure for a suspected post\u2010dural puncture headache. Investigations also revealed hypertension, proteinuria and subdural collections. This case demonstrates the diagnostic dilemma associated with postpartum headache and late postpartum eclampsia. We illustrate the importance of a thorough clinical assessment of postpartum patients presenting with headache, highlighting the possibility of more than one underlying pathological cause. We also consider the role of epidural blood patch in both precipitating, and preventing, complications of accidental dural puncture.<\/jats:p>","DOI":"10.1002\/anr3.12149","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T14:31:29Z","timestamp":1645713089000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Seizures after epidural blood patch in a postpartum patient later diagnosed with hypertension and proteinuria: a diagnostic conundrum"],"prefix":"10.1002","volume":"10","author":[{"given":"A.","family":"Prichard","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Imperial College Healthcare NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Appiah","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Imperial College Healthcare NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Kearsley","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Imperial College Healthcare NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Arnold","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Imperial College Healthcare NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkr025"},{"key":"e_1_2_5_3_1","article-title":"Treatment of obstetric post\u2010dural puncture headache","author":"Russell R","year":"2018","journal-title":"The Obstetric Anaesthetists Association"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeg049"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.69.6.824"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.071446"},{"key":"e_1_2_5_7_1","first-page":"60","article-title":"Late\u2010onset postpartum eclampsia: still a diagnostic dilemma?","volume":"14","author":"Santos VM","year":"2008","journal-title":"Hong Kong Medical Journal"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2020.07.010"},{"key":"e_1_2_5_9_1","volume-title":"NYSORA Textbook of Regional Anesthesia and Acute Pain Management","author":"Harrington BE","year":"2007"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/rapm.2002.33281"},{"key":"e_1_2_5_11_1","first-page":"371","article-title":"Late post\u2010partum eclampsia coincident with postdural puncture headache: a case report","volume":"71","author":"Winston AW","year":"2003","journal-title":"American Association of Nurse Anesthesiology Journal"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12149","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12149","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12149","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T11:50:56Z","timestamp":1759924256000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12149"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1002\/anr3.12149"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12149","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"2022-02-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12149"}}