| A Case of Postpartum Reversible Cerebral Vasoconstriction Syndrome |
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Ho Jin Lee, Dong Hyun Lee, Ho Chul Jung, Ki Won Moon |
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Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea |
| 출산 후 발생한 가역적 뇌혈관 수축 증후군 1예 |
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이호진, 이동현, 정호철, 문기원 |
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강원대학교 의학전문대학원 내과학교실 |
Correspondence:
Ki Won Moon, Tel: +82-33-258-2013, Fax: +82-33-258-2455, Email: kiwonmoon@kangwon.ac.kr
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Received: 29 November 2013 • Revised: 9 March 2014 • Accepted: 30 April 2014 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Abstract |
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Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by development of a severe thunderclap headache with or without other acute neurological symptoms, and by multifocal or diffuse segmental vasoconstriction of the cerebral arteries that resolves spontaneously within 3 months. Several precipitating factors have been identified; these include the use of adrenergic or serotonergic drugs and postpartum status. Diagnosis is aided by the dynamic nature of the clinicoradiological features, including a ‘beads-on-a-string’ appearance of the cerebral arteries on angiography, and complete (or near-complete) resolution of the condition evident on repeat angiography performed 3 months after initial onset. Calcium channel blockers such as nimodipine seem to relieve the severe headache within 48 h. Here, we present the case of a female who developed RCVS postpartum. |
| Key Words:
Vasculitis; Vasoconstriction |
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