Postpartale Kopfschmerzen

Etwa ein Drittel aller Frauen leidet in den ersten Wochen nach einer Geburt unter Kopfschmerzen. Häufig sind diese Beschwerden eine harmlose Stressreaktion des Körpers auf die Geburt und damit selbstlimitierend. Gelegentlich können postpartale Kopfschmerzen aber auch Zeichen einer seltenen, lebensbedrohlichen Komplikation der modernen Geburtshilfe sein.

• Literatur

• 1 Goldszmidt E, Kern R, Chaput A. et al. The incidence and etiology of postpartum headaches: a prospective cohort study. Can J Anaesth 2005; 52: 971-977
• 2 Dieterich M, Beck J, Brandt T. Deutsche Gesellschaft für Neurologie. Leitlinien für Diagnostik und Therapie in der Neurologie. Diagnostik und Therapie des postpunktionellen und spontanen Liquorunterdruck-Syndroms, S1-Leitlinie. 2018 Im Internet (Stand: 18.07.2021): https://dgn.org/wp-content/uploads/2012/12/030113_LL_Liquorunterdrucksyndrom_2018.pdf
• 3 Cuypers V, Van de Velde M, Devroe S. Intracranial subdural haematoma following neuraxial anaesthesia in the obstetric population: a literature review with analysis of 56 reported cases. Int J Obstet Anesth 2016; 25: 58-65
• 4 Szeto V, Kosirog J, Eilbert W. Intracranial subdural hematoma after epiduralanesthesia: a case report and review of the literature. Int J Emerg Med 2018; 11: 36
• 5 Aygun A, Vuran H, Aksut N. et al. A case of late diagnosis of chronic subdural hematoma following spinal anesthesia. Turk J Emerg Med 2017; 17: 68-69
• 6 Bridwell R, Larson N, Baker M. et al. Postpartum bilateral subdural hematomas: A case report. Cureus 2020; 12: e11191
• 7 De Lipsis L, Belmonte R, Cusano M. et al. Subdural hematoma as a consequence of labor epidural analgesia. Asian J Neurosurg 2018; 13: 931-934
• 8 Domoto S, Suzuki M, Suzuki S. et al. Subdural hematoma after cesarean delivery without symptoms: a case report. J A Clin Rep 2018; 4: 18
• 9 Elshanawany A, Wahab A. Intracranial acute subdural hematoma following spinal anesthesia: Our experience with six patients. J Neurol Surg A Cent Eur Neurosurg 2020; 81: 44-47
• 10 Gioia S, Mirtella D, Lancia M. et al. Fatal acute intracranial subdural hematoma after spinal anesthesia for cesarean delivery: Case Report and Review of the Literature. Am J Forensic Med Pathol 2019; 40: 381-385
• 11 Iwase Y, Suzuki M, Bito H. A case report of intracranial hemorrhage after spinal anesthesia. JA Clin Rep 2017; 3: 11
• 12 Lim G, Zorn J, Dong Y. et al. Subdural hematoma associated with labor epidural analgesia: A case series. Reg Anesth Pain Med 2016; 41: 628-631
• 13 Metin K, Güzel I, Oskovi A. et al. Chronic subdural hematoma following spinal anesthesia for cesarean section. J Exp Ther Oncol 2017; 11: 97-99
• 14 Ngebe E, Uwamahoro E, Irakoze M. et al. Rare but fatal subdural hematoma following spinal anesthesia: A case report of unrecognized untreated postdural puncture headache in a low-resource country setting. A Pract 2020; 14: e01265
• 15 Vien C, Marovic P, Ingram B. Epidural anesthesia complicated by subdural hygromas and a subdural hematoma. Case Rep Anesthesiol 2016; 2016: 5789504
• 16 Pontes R, Junqueira F, Paiva M. et al. Hematoma subdural intracraneal tras punción dural accidental: caso clínico. Rev Esp Anestesiol Reanim 2021; 68: 103-106
• 17 Scott D, Hibbard B. Serious non-fatal complications associated with extradural block in obstetric practice. Br J Anaesth 1990; 64: 537-541
• 18 Moore A, Wieczorek P, Carvalho J. Association between post-dural puncture haedache after neuroaxial anesthesia in childbirth and intracranial subdural hematoma. JAMA Neurol 2020; 77: 65-72
• 19 Schott M, Gehrke A, Gaab M. et al. Subdurales Hämatom nach Duraperforation: eine Komplikation der Periduralanästhesie?. Anästh Intensivmed 2011; 52: 370
• 20 Hempel V. Spinalanästhesie – Wirkungsweise, Technik, Komplikationen, Indikationen. Anästh Intensivmed 2001; 42: 619-629
• 21 Oudghiri N, Behat M, Elchhab N. et al. Spontanous hematoma associated with preeclampsia: a case report and literature review. Pan Afr Med J 2014; 19: 213-215
• 22 Kleine-Brüggeney M, Kranke P, Stamer U. Geburtshilfliche Anästhesie – Prophylaxe und Therapie des postpunktionellen Kopfschmerzes. Anästhesiol Intensivmed Notfallmed Schmerzther 2011; 46: 516-524
• 23 Kessler P, Wulf H. Duraperforation – postpunktioneller Kopfschmerz – Prophylaxe- und Therapiemöglichkeiten. Anästhesiol Intensivmed Notfallmed Schmerzther 2008; 43: 346-352
• 24 Dieterich M, Brandt T. Incidence of postlumbar puncture headache is independent of daily fluid intake. Eur Arch Psychiatry Neurol Sci 1988; 237: 194-196
• 25 Quinn A, Milne D, Columb M. et al. Failed tracheal intubation in obstetric anaesthesia: 2 yr national case-control study in the UK. Br J Anaesth 2013; 110: 74-80
• 26 Maeda A, Fujita N, Nagasaka Y. Respiratory and Airway Considerations in Obstetric Patients. Curr Anesthesiol Rep 2019; 9: 48-54