{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T13:59:24Z","timestamp":1760709564219,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,2,6]]},"abstract":"<jats:p>Postpartum women can develop headache, and their assessment requires a thorough and multidisciplinary approach. If the headache is unresponsive to treatment and accompanied by neurological deficit, neuroimaging needs to be undertaken to rule out other life-threatening causes.\n<jats:sup>1<\/jats:sup>\n\n               <\/jats:p>\n               <jats:p>We present a case of 35-year-old woman with pre-eclampsia and diet-controlled gestational diabetes mellitus, who had normal vaginal delivery at 40 weeks. She had an epidural analgesia for pain relief during labour, but had inadvertent dural puncture during the procedure and developed headache 24\u2009hours after delivery. The headache was managed conservatively and she was discharged home, but was readmitted 8 days later with worsening headache. The headache was postural on admission but became continuous, developed neurological symptoms in the form of ataxic hemiparesis and convulsions. After neuroimaging, she was found to have cerebral venous sinus thrombosis. She was commenced on anticoagulants and anticonvulsants and made a complete recovery.<\/jats:p>","DOI":"10.1136\/bcr-2017-223048","type":"journal-article","created":{"date-parts":[[2018,3,28]],"date-time":"2018-03-28T09:50:46Z","timestamp":1522230646000},"page":"bcr-2017-223048","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["A rare cause of postpartum headache"],"prefix":"10.1136","volume":"2018","author":[{"given":"Nayantara","family":"Bijral","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Princess Royal University Hospital, Orpington, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imran","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Princess Royal University Hospital, Orpington, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aisha","family":"Hameed","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Princess Royal University Hospital, Orpington, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,3,28]]},"reference":[{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.1","doi-asserted-by":"crossref","first-page":"318.e1","DOI":"10.1016\/j.ajog.2007.01.034","article-title":"Postpartum headache: is your work-up complete?","volume":"196","author":"Stella","year":"2007","journal-title":"Am J Obstet Gynecol"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022061"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.3","unstructured":"MBRRACE-UK. 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Saving Lives, Improving Mothers\u2019 Care \u2013 Surveillance of maternal deaths in the UK 2012-14 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009\u201314, 2014."},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2007.02.041"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.5","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.31.6.1274"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.6","first-page":"23","article-title":"Paciaroni M: Handbook on cerebral venous thrombosis.basil","volume":"23","author":"Caso","year":"2008","journal-title":"Karger"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.7","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.56.12.1746"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.8","doi-asserted-by":"publisher","DOI":"10.1159\/000081912"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.9","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.63.3.351"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra042354"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2008.07323.x"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.12","doi-asserted-by":"crossref","first-page":"41","DOI":"10.12688\/f1000research.3-41.v1","article-title":"Cerebral venous thrombosis in post-lumbar puncture intracranial hypotension: case report and review of literature","volume":"3","author":"Kate","year":"2014","journal-title":"F1000Res"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.13","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1093\/oxfordjournals.bja.a013451","article-title":"Postpartum headache after epidural blood patch: investigation and diagnosis","volume":"84","author":"Stocks","year":"2000","journal-title":"Br J Anaesth"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.14","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s13760-014-0305-z","article-title":"Dural puncture: an overlooked cause of cerebral venous thrombosis","volume":"115","author":"Guner","year":"2015","journal-title":"Acta Neurol Belg"},{"key":"2025082803031062000_2018.mar28_1.bcr-2017-223048.15","unstructured":"Einhaupl K , Stam J , Bousser MG , et al . 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