Postpartum reversible cerebral vasoconstriction syndrome

Satish Chandrashekaran, Sameer Parikh, Prashant Kapoor, Sreevidya Subbarayan

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Postpartum reversible cerebral vasoconstriction syndrome, also known as postpartum cerebral angiopathy, is clinically characterized by headache and focal neurologic deficits, and angiographically by transient, fully reversible cerebral vasoconstriction. A 26-year-old woman was brought to the emergency room with a 3-day history of confusion, agitation, and headache. She was 2 weeks postpartum. She went on to develop right leg weakness two days after admission. A cerebral angiogram showed diffuse irregularities of all intracerebral vessels, and MRI showed multiple acute infarcts. Her clinical condition improved significantly over the next several days without any intervention, and she was discharged. MRA 3 months after initial presentation was normal. It is important to consider this syndrome in the differential diagnosis in patients presenting with headache and focal neurologic deficits in the postpartum period.

Original languageEnglish (US)
Pages (from-to)222-224
Number of pages3
JournalAmerican Journal of the Medical Sciences
Volume334
Issue number3
DOIs
StatePublished - Sep 1 2007

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Keywords

  • Call-Fleming syndrome
  • Cerebral angiopathy
  • Postpartum
  • Pregnancy
  • Stroke

ASJC Scopus subject areas

  • Medicine(all)

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