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Sinusvenenthrombose nach geburtshilflicher Epiduralanästhesie

Postpartum cerebral venous sinus thrombosis after epidural anaesthesia

Der Anaesthesist volume 58, pages 268–272 (2009)Cite this article

Zusammenfassung

Sinusvenenthrombosen (SVT) in der Schwangerschaft oder postpartal sind keine Seltenheit, trotzdem wird die Diagnose meist erst spät gestellt. Bei der hohen Anzahl an rückenmarknahen Anästhesien zur Entbindung fällt die Differenzialdiagnose zum postpunktionellen Kopfschmerz (PKS) oft schwer. Es wird über eine Patientin berichtet, die postpartal sowohl ein Liquorunterdrucksyndrom als auch eine SVT entwickelte.

Abstract

Cerebral venous sinus thrombosis during pregnancy or puerperium is not a rarity. Nevertheless, it is often misdiagnosed. With the increasing use of regional anaesthesia in obstetrics the differential diagnosis of postdural puncture headache is often difficult. The case of a patient is reported who suffered from both intracranial hypotension and cerebral venous sinus thrombosis in the postpartum period.

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Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Authors and Affiliations

  1. Klinik für Anästhesiologie und Intensivmedizin, Katholisches Klinikum Marienhof/St. Josef gGmbH, Kardinal-Krementz-Str. 1-5, 56073, Koblenz, Deutschland

    V. Jungmann, J. Daum &  M. Silomon

  2. Klinik für Neurologie, Katholisches Klinikum Marienhof/St. Josef gGmbH, Koblenz, Deutschland

    R. Werner & J.C. Wöhrle

  3. Klinik für Gynäkologie und Geburtshilfe, Katholisches Klinikum Marienhof/St. Josef gGmbH, Koblenz, Deutschland

    J. Bergmann & J. Dünnebacke

Authors
  1. V. Jungmann
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  2. R. Werner
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  3. J. Bergmann
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  4. J. Daum
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  5. J.C. Wöhrle
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  6. J. Dünnebacke
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  7. M. Silomon
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Corresponding author

Correspondence to M. Silomon.

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Widmung

Herrn Prof. Dr. R. Larsen zum 65. Geburtstag gewidmet.

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Jungmann, V., Werner, R., Bergmann, J. et al. Sinusvenenthrombose nach geburtshilflicher Epiduralanästhesie. Anaesthesist 58, 268–272 (2009). https://doi.org/10.1007/s00101-008-1490-z

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  • DOI: https://doi.org/10.1007/s00101-008-1490-z

Schlüsselwörter

  • Postpunktioneller Kopfschmerz
  • Sinusvenenthrombose
  • Prothrombin-20210A-Mutation
  • Wochenbettkomplikationen
  • Liquorunterdrucksyndrom

Keywords

  • Postdural puncture headache
  • Cerebral venous sinus thrombosis
  • Prothrombin 20210A mutation
  • Spontaneous intracranial hypotension
  • Puerperium complications