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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Autores principales: Nakano, Yumiko, Fujiwara, Shunya, Omote, Yoshio, Takamiya, Motonori, Narai, Hisashi, Manabe, Yasuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Case Series - General Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830283/
https://www.ncbi.nlm.nih.gov/pubmed/36636278
http://dx.doi.org/10.1159/000527600
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author Nakano, Yumiko
Fujiwara, Shunya
Omote, Yoshio
Takamiya, Motonori
Narai, Hisashi
Manabe, Yasuhiro
author_facet Nakano, Yumiko
Fujiwara, Shunya
Omote, Yoshio
Takamiya, Motonori
Narai, Hisashi
Manabe, Yasuhiro
author_sort Nakano, Yumiko
collection PubMed
description 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.
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spelling pubmed-98302832023-01-11 Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum Nakano, Yumiko Fujiwara, Shunya Omote, Yoshio Takamiya, Motonori Narai, Hisashi Manabe, Yasuhiro Case Rep Neurol Case Series - General Neurology 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. S. Karger AG 2022-10-31 /pmc/articles/PMC9830283/ /pubmed/36636278 http://dx.doi.org/10.1159/000527600 Text en Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Series - General Neurology
Nakano, Yumiko
Fujiwara, Shunya
Omote, Yoshio
Takamiya, Motonori
Narai, Hisashi
Manabe, Yasuhiro
Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum
title Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum
title_full Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum
title_fullStr Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum
title_full_unstemmed Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum
title_short Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum
title_sort serial magnetic resonance imaging and magnetic resonance angiographic findings of reversible cerebral vasoconstriction syndrome associated with postpartum
topic Case Series - General Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830283/
https://www.ncbi.nlm.nih.gov/pubmed/36636278
http://dx.doi.org/10.1159/000527600
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