Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum

We report 2 cases of reversible cerebral vasoconstriction syndrome (RCVS) associated with postpartum. In case 1, a 26-year-old woman developed sudden-onset headache, nausea, and vomiting 1 h after an uncomplicated vaginal delivery. In case 2, a 27-year-old woman developed generalized seizures 9 days...

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Published inCase reports in neurology Vol. 14; no. 3; pp. 413 - 418
Main Authors Nakano, Yumiko, Fujiwara, Shunya, Omote, Yoshio, Takamiya, Motonori, Narai, Hisashi, Manabe, Yasuhiro
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 31.10.2022
Karger Publishers
Subjects
Blood pressure
Case reports
Case Series - General Neurology
Cerebrospinal fluid
Glasgow Coma Scale
Laboratories
magnetic resonance angiography
Magnetic resonance imaging
Memory
postpartum
Proteins
reversible cerebral vasoconstriction syndrome
Vagina
Veins & arteries
Magnetic resonance imaging
Reversible cerebral vasoconstriction syndrome
Magnetic resonance angiography
Postpartum
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Summary:We report 2 cases of reversible cerebral vasoconstriction syndrome (RCVS) associated with postpartum. In case 1, a 26-year-old woman developed sudden-onset headache, nausea, and vomiting 1 h after an uncomplicated vaginal delivery. In case 2, a 27-year-old woman developed generalized seizures 9 days after an uncomplicated vaginal delivery. In both cases, initial angiographic studies showed no significant vasoconstriction; however, repeat studies revealed reversible vasoconstriction. Serial magnetic resonance imaging (MRI) revealed transient brain lesions during 6 months. RCVS remains poorly characterized, misdiagnosed, and under-recognized. Serial MRI and magnetic resonance angiographic findings may contribute to diagnosis of RCVS.
ISSN:1662-680X
1662-680X
DOI:10.1159/000527600