Article Text

Download PDFPDF
Intracranial hypotension and venous sinus thrombosis: two postpartum headaches
  1. Michael O Kinney1,
  2. Mark O McCarron2
  1. 1Departments of Obstetrics and Gynaecology, Altnagelvin Area Hospital, Derry, Northern Ireland
  2. 2Department of Neurology, Altnagelvin Area Hospital, Derry, Northern Ireland
  1. Correspondence to Dr Mark McCarron MD, FRCP, Department of Neurology, Altnagelvin Hospital, Derry BT47 6SB, Northern Ireland; markmccarron{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Dural puncture from epidural anaesthesia can result in intracranial hypotension with postural headache. Intracranial hypotension and the puerperium have been associated with cerebral venous sinus thrombosis (CVST). We report a postpartum patient in whom neuroimaging demonstrated intracranial hypotension and CVST following epidural anaesthesia.

After an uncomplicated pregnancy, an 18-year-old primigravida delivered a live male infant at term via vacuum-assisted delivery and epidural anaesthesia. Within hours she developed a moderately severe diffuse postural headache, which was exacerbated by sitting upright. Over the following days, the headache intensified to 10 out of 10 in severity with associated nausea, vomiting and photophobia.

Despite having intravenous fluids, analgesia, caffeine and …

View Full Text


  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.