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Case Report
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Korean J Med. 2015;88(1):64-68. Published online January 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.1.64
- 출산 후 발생한 가역적 뇌혈관 수축 증후군 1예
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이호진, 이동현, 정호철, 문기원
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강원대학교 의학전문대학원 내과학교실
- 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
- Corresponding author: Ki Won Moon ,Tel: +82-33-258-2013, Fax: +82-33-258-2455, Email: kiwonmoon@kangwon.ac.kr
- Received: November 29, 2013; Revised: March 9, 2014 Accepted: April 30, 2014.
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- Abstract
- 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.
Keywords :Vasculitis, Vasoconstriction
