Intended for healthcare professionals

Rapid response to:

Clinical Review Lesson of the week

Postpartum eclampsia of late onset

BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7524.1070 (Published 03 November 2005) Cite this as: BMJ 2005;331:1070

Rapid Response:

Re: Postdural pucture headache may be a differential diagnosis

Sir/madam

I certainly do agree that postdural headache is one of the
possibilities in this. It crossed my mind too when I read this article.

Having seen at least 4 patients with convulsions after a spinal anesthesia
in the last few months/years, this is very likely diagnosis
Almost invariably the blood pressure is elevated after an episode like
this and what rather favors/confuses the issue is proteinuria. I think it
is worth being cautious in labelling such cases as eclampsia and postdural headache and the consequences must also be a differential diagnosis.

Competing interests:
None declared

Competing interests: No competing interests

14 November 2005
Vaidyantahn Gowri
Asst professor
OMAN 123