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OBSTETRIC ANESTHESIA

Neurocysticercosis: A New Differential in the Diagnosis of Postdural Puncture Headache

Ingrid M. Browne, FFARCSI^*, and David J. Birnbach, MD

*St. Vincent’s University Hospital, Dublin, Ireland; and University of Miami School of Medicine, Miami, Florida

Address correspondence to David J. Birnbach, MD, Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami School of Medicine, Jackson Memorial Hospital, 1611 N.W. 12th Ave., Room C-301, Miami, FL 33136. Address e-mail to dbirnbach{at}miami.edu Reprints will not be available from the author.

IMPLICATIONS: Positional headache after spinal anesthesia is considered pathognomonic for postdural puncture headache. This report describes a patient who developed a positional headache after spinal anesthesia that was due to neurocysticercosis, a parasitic central nervous system infestation caused by the tapeworm Taenia solium.