Postpartum seizures after epidural analgesia: a patient with a mutation of the factor V Leiden and prothrombin gene.
J Clin Anesth 2007;
19:549-50. [PMID:
18063213 DOI:
10.1016/j.jclinane.2007.02.014]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2006] [Revised: 02/16/2007] [Accepted: 02/27/2007] [Indexed: 11/21/2022]
Abstract
We report the case of a 27-year-old parturient who developed a headache within 12 hours of delivery and who subsequently seized. Further examination, including magnetic resonance imaging and computed tomographic scan, showed a partial thrombosis of a transversal venous sinus, the underlying cause being an activated protein C resistance caused by a heterozygote factor V Leiden mutation and heterozygote prothrombin-gene mutation G20210A. Seven months after delivery, the patient is in good health, showing no neurocognitive disability.
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