Idiopathic intracranial hypertension presenting as postpartum headache

Neurosciences (Riyadh). 2016 Jan;21(1):52-5. doi: 10.17712/nsj.2016.1.20150304.

Abstract

Postpartum headache is described as headache and neck or shoulder pain during the first 6 weeks after delivery. Common causes of headache in the puerperium are migraine headache and tension headache; other causes include pre-eclampsia/eclampsia, post-dural puncture headache, cortical vein thrombosis, subarachnoid hemorrhage, posterior reversible leukoencephalopathy syndrome, brain tumor, cerebral ischemia, meningitis, and so forth. Idiopathic intracranial hypertension (IIH) is a rare cause of postpartum headache. It is usually associated with papilledema, headache, and elevated intracranial pressure without any focal neurologic abnormality in an otherwise healthy person. It is more commonly seen in obese women of reproductive age group, but rare during pregnancy and postpartum. We present a case of IIH who presented to us 18 days after cesarean section with severe headache and was successfully managed.

Publication types

  • Case Reports

MeSH terms

  • Acetazolamide / therapeutic use
  • Adult
  • Cerebral Veins / pathology
  • Diet, Sodium-Restricted / methods
  • Diuretics / therapeutic use
  • Female
  • Headache Disorders, Secondary / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Phlebography
  • Pseudotumor Cerebri / complications*
  • Pseudotumor Cerebri / diagnosis
  • Pseudotumor Cerebri / therapy
  • Puerperal Disorders / diagnosis
  • Puerperal Disorders / etiology*
  • Puerperal Disorders / therapy
  • Spinal Puncture

Substances

  • Diuretics
  • Acetazolamide