Occam's Razor Could Not Cut It: Tale of 2 Headaches in a Postpartum Patient: A Case Report

James A. Dolak, Constantinos G. Hadjipanayis, Linda J. Demma

Research output: Contribution to journalArticlepeer-review

Abstract

Not all postpartum headaches are caused by dural puncture, and it is possible for postpartum patients to have >1 cause for headache. After neuraxial block with an incidental large-gauge dural puncture, our patient developed a severe, classic postdural puncture headache which initially responded to an epidural blood patch. The patient was readmitted 2 days after discharge complaining of recurrent headache less characteristic of a postdural puncture headache, now being bifrontal/retro-orbital and without clear positional component. Computerized tomography and magnetic resonance imaging revealed an enlarged pituitary gland with a possible hemorrhagic focus; all endocrine parameters were normal. The patient was ultimately diagnosed with lymphocytic adenohypophysitis, an autoimmune inflammation of the anterior pituitary gland.

Original languageEnglish
Pages (from-to)233-235
Number of pages3
JournalA & A case reports
Volume9
Issue number8
DOIs
StatePublished - 15 Oct 2017

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