• Int J Obstet Anesth · Nov 2014

    Case Reports

    Sheehan syndrome: acute presentation with severe headache.

    • B Hale and A S Habib.
    • Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
    • Int J Obstet Anesth. 2014 Nov 1;23(4):383-6.

    AbstractPostpartum headache is a common occurrence with a broad differential diagnosis. Sheehan syndrome, or postpartum pituitary necrosis, is not typically recognized as a cause of postpartum headache. We present a case of Sheehan syndrome that initially presented as severe headache after vaginal delivery complicated by retained placenta and postpartum hemorrhage. The patient was discharged home on postpartum day three but continued to have headaches and returned to hospital on postpartum day six with severe headache, failure to lactate, edema, dizziness, fatigue, nausea and vomiting. Cranial magnetic resonance imaging revealed pituitary infarction consistent with Sheehan syndrome. We discuss the differential diagnosis for postpartum headache, the pathophysiological features of Sheehan syndrome and headache as an atypical acute presentation. Copyright © 2014 Elsevier Ltd. All rights reserved.

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