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September 28, 2025The NeurohospitalistOpen Access

Delayed Diagnosis of Postpartum Subarachnoid Hemorrhage Caused by Vertebral Artery Aneurysm: A Case Initially Misdiagnosed as Post-Dural Puncture Headache

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Subarachnoid hemorrhage due to a vertebral artery aneurysm presents with atypical headaches and may be missed.
CT imaging confirmed diffuse subarachnoid hemorrhage and a dissecting aneurysm in a 40-year-old woman.
Endovascular coiling treatment resulted in favorable recovery with only mild cerebellar ataxia at discharge.
This case emphasizes the need for early neuroimaging in postpartum patients with severe headaches after anesthesia.

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Case report reveals misdiagnosis as post-dural puncture headache, highlighting risks in postpartum care.

Ray et al. (2025) studied this question.

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