Affiliation:
1. Department of Obstetrics & Gynecology Beaumont Health System and Oakland University William Beaumont School of Medicine Royal Oak Michigan USA
2. Department of Diagnostic Radiology and Molecular Imaging Beaumont Health System and Oakland University William Beaumont School of Medicine Royal Oak Michigan USA
Abstract
AbstractReversible cerebral vasoconstriction syndrome (RCVS) is a rare phenomenon that can present in the postpartum period. We show the experience of a 35‐year‐old patient who presented with headache after an uncomplicated pregnancy and vaginal delivery. She was initially diagnosed with pre‐eclampsia, and subsequently with RCVS following discovery of multifocal vascular narrowing on magnetic resonance arteriography (MRA). Verapamil was initiated, and at 1 month there was improvement intracranially, but cervical vertebral arterial narrowing, likely dissection, was discovered. Verapamil was continued and aspirin was initiated. Follow‐up imaging 5 months postpartum demonstrated near‐complete resolution of previously noted abnormalities, which remained stable at reimaging at 10 months postpartum. In conclusion, the symptoms of RCVS can mimic or coexist with pre‐eclampsia. Early intracranial imaging such as MRA can permit timely diagnosis and facilitate appropriate management and follow‐up.
Subject
Obstetrics and Gynecology,General Medicine
Cited by
1 articles.
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