BACKGROUND Cerebral venous thrombosis can be a fatal complication of the postpartum period. Pregnancy is known to be a risk factor for thromboembolism in itself. CASE PRESENTATION A normal spontaneous vaginal delivery was planned for a 20-year-old primigravida patient with patient-controlled epidural analgesia. Next morning, the patient complained of an occipital headache. An epidural blood patch was performed for diagnostic and therapeutic purpose with 10 ml of autologous blood. That night, she had an episode of seizures. Endotracheal intubation was done to secure the airway. She was transferred to an intensive care unit. Brain CT angiography and MRI showed superior sagittal sinus thrombosis with acute infarct and mild subarachnoid haemorrhage. For cerebral venous thrombosis treatment, heparin was injected and for intracranial pressure control, a hypertonic solution was injected. Despite this medical treatment, intracranial pressure continued to rise. The next day, her mental state changed to stupor. Emergency decompressive craniectomy was performed. Her mental state improved rapidly after surgery. A week later, she was transferred to a general ward. Her health recovered and she was discharged. CONCLUSIONS We experienced postpartum cerebral venous thrombosis misdiagnosed as postdural puncture headache. We hope that this case report would be helpful in situation which a postpartum young woman complains severe headache in spite of management for headache including autologous epidural blood patch.

中文翻译：

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病例报告：产后脑静脉血栓形成被误诊为硬脑膜穿刺后头痛。

背景技术脑静脉血栓形成可能是产后时期的致命并发症。怀孕本身是血栓栓塞的危险因素。病例介绍计划对一名20岁初发妊娠患者进行自主硬膜外镇痛的正常自然阴道分娩。第二天早上，病人抱怨枕部头痛。为了诊断和治疗目的，用10 ml自体血进行硬膜外补血。那天晚上，她发作了癫痫发作。进行气管插管以固定气道。她被转移到重症监护室。脑CT血管造影和MRI显示上矢状窦血栓形成并伴有急性梗塞和轻度蛛网膜下腔出血。为了治疗脑静脉血栓，注射了肝素并控制了颅内压，注入高渗溶液。尽管进行了这种治疗，但颅内压持续升高。第二天，她的精神状态转为木僵。紧急进行减压颅骨切除术。手术后她的精神状态迅速改善。一周后，她被转到普通病房。她的健康恢复了，她出院了。结论我们经历了产后脑静脉血栓形成被误诊为硬膜后穿刺性头痛。我们希望该病例报告在产后年轻妇女抱怨严重头痛的情况下仍能有所帮助，尽管该疾病包括自体硬膜外补片在内的头痛得到管理。紧急进行减压颅骨切除术。手术后她的精神状态迅速改善。一周后，她被转到普通病房。她的健康恢复了，她出院了。结论我们经历了产后脑静脉血栓形成被误诊为硬膜后穿刺性头痛。我们希望该病例报告在产后年轻妇女抱怨严重头痛的情况下仍能有所帮助，尽管该疾病包括自体硬膜外补片在内的头痛得到管理。紧急进行减压颅骨切除术。手术后她的精神状态迅速改善。一周后，她被转到普通病房。她的健康恢复了，她出院了。结论我们经历了产后脑静脉血栓形成被误诊为硬膜后穿刺性头痛。我们希望该病例报告在产后年轻妇女抱怨严重头痛的情况下仍能有所帮助，尽管该疾病包括自体硬膜外补片在内的头痛得到管理。