II. Types: Primary Headaches

  1. Tension Headache
  2. Migraine Headache
    1. Improves with pregnancy in up to 70% of patients
    2. Some cases of first Migraine occur in first trimester
      1. Associated with aura
  3. Chronic Daily Headache

III. Differential Diagnosis: Secondary Headaches in Antepartum Period

IV. Differential Diagnosis: Secondary Headaches in Postpartum Period (Postpartum Headache)

  1. See Headache for other causes
  2. Pregnancy Induced Hypertension (Preeclampsia)
    1. May occur up to 6 weeks after delivery
    2. Critical diagnosis commonly missed in postpartum patients (Magnesium IV is drug of choice)
    3. Evaluate for Hypertension and Proteinuria (or alternative criteria) in all Postpartum Headache patients
  3. Posterior Reversible Encephalopathy Syndrome (PRES)
  4. Post-epidural Headache
    1. Spinal Headache (Post-Lumbar puncture headache)
    2. Pneumocephalus
  5. Cerebral Venous Thrombosis (Cortical Vein Thrombosis)
  6. Spontaneous Subarachnoid Hemorrhage
  7. Meningitis
  8. Pituitary Apoplexy

VI. References

  1. Jhun, Weinstock and Jaque in Herbert (2017) EM:Rap 17(1): 14-5
  2. Johnson (2004) Prim Care Office Pract 31:417-28
  3. Silberstein (2004) Neurol Clin 22:727-56 [PubMed]

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Ontology: Postpartum headache (C0522250)

Concepts Sign or Symptom (T184)
SnomedCT 103008008
English headache associated with postpartum status (symptom), headache associated with postpartum status, postpartum headache, Postpartum headache, Postpartum headache (finding)
Spanish cefalea posparto, cefalea postparto (hallazgo), cefalea postparto

Ontology: headache associated with pregnancy (C2029699)

Concepts Sign or Symptom (T184)
English headache associated with pregnancy (symptom), headache associated with pregnancy