TY - JOUR
T1 - Postpartum reversible cerebral vasoconstriction syndrome
AU - Chandrashekaran, Satish
AU - Parikh, Sameer
AU - Kapoor, Prashant
AU - Subbarayan, Sreevidya
PY - 2007/9
Y1 - 2007/9
N2 - 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.
AB - 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.
KW - Call-Fleming syndrome
KW - Cerebral angiopathy
KW - Postpartum
KW - Pregnancy
KW - Stroke
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U2 - 10.1097/MAJ.0b013e318141fc69
DO - 10.1097/MAJ.0b013e318141fc69
M3 - Article
C2 - 17873540
AN - SCOPUS:34548697726
SN - 0002-9629
VL - 334
SP - 222
EP - 224
JO - American Journal of the Medical Sciences
JF - American Journal of the Medical Sciences
IS - 3
ER -