Reversible cerebral vasoconstriction syndrome: a rare cause of postpartum headache
We describe two women presenting with severe postpartum headache associated with hypertension but with no other signs or investigation results to suggest pre-eclampsia. In one case, the headache was associated with atypical subarachnoid haemorrhage. The variable nature of the headache and the degree...
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| Veröffentlicht in: | Practical neurology 2015-04, Vol.15 (2), p.141-144 |
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| creator | Wiles, Kate S Nortley, Ross Siddiqui, Ata Holmes, Paul Nelson-Piercy, Catherine |
| description | We describe two women presenting with severe postpartum headache associated with hypertension but with no other signs or investigation results to suggest pre-eclampsia. In one case, the headache was associated with atypical subarachnoid haemorrhage. The variable nature of the headache and the degree of associated hypertension raised the clinical suspicion of reversible cerebral vasoconstriction syndrome, confirmed on MR angiography. Both patients took nimodipine until the cerebral vasoconstriction had resolved radiologically. |
| doi_str_mv | 10.1136/practneurol-2014-000997 |
| format | Article |
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In one case, the headache was associated with atypical subarachnoid haemorrhage. The variable nature of the headache and the degree of associated hypertension raised the clinical suspicion of reversible cerebral vasoconstriction syndrome, confirmed on MR angiography. Both patients took nimodipine until the cerebral vasoconstriction had resolved radiologically.</description><identifier>ISSN: 1474-7758</identifier><identifier>EISSN: 1474-7766</identifier><identifier>DOI: 10.1136/practneurol-2014-000997</identifier><identifier>PMID: 25573342</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Biopsy ; Breastfeeding & lactation ; Cerebral Angiography ; Childbirth & labor ; Constriction, Pathologic - etiology ; Female ; Headache - complications ; Headaches ; Humans ; Hypertension ; Magnetic Resonance Imaging ; Medical imaging ; Postpartum Period ; Preeclampsia ; Pregnancy ; Urinalysis ; Vasospasm, Intracranial - diagnosis ; Vasospasm, Intracranial - ethnology ; Veins & arteries ; Womens health</subject><ispartof>Practical neurology, 2015-04, Vol.15 (2), p.141-144</ispartof><rights>Published by the BMJ Publishing Group Limited. 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In one case, the headache was associated with atypical subarachnoid haemorrhage. The variable nature of the headache and the degree of associated hypertension raised the clinical suspicion of reversible cerebral vasoconstriction syndrome, confirmed on MR angiography. Both patients took nimodipine until the cerebral vasoconstriction had resolved radiologically.</description><subject>Adult</subject><subject>Biopsy</subject><subject>Breastfeeding & lactation</subject><subject>Cerebral Angiography</subject><subject>Childbirth & labor</subject><subject>Constriction, Pathologic - etiology</subject><subject>Female</subject><subject>Headache - complications</subject><subject>Headaches</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical imaging</subject><subject>Postpartum Period</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Urinalysis</subject><subject>Vasospasm, Intracranial - diagnosis</subject><subject>Vasospasm, Intracranial - ethnology</subject><subject>Veins & arteries</subject><subject>Womens health</subject><issn>1474-7758</issn><issn>1474-7766</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkEtL5UAQhRsZ8f0XNDAbNxm7upN-uJOLOgPCgOi6qXQqmEuSjt2JcP-9uVwVmdWs6iy-cyg-xi6A_wKQ6mqM6KeB5hi6XHAocs65tXqPHUGhi1xrpX585dIcsuOU1pyDttIesENRllrKQhyxx0d6o5jaqqPMU6QqYpe9YQo-DGmKrZ_aMGRpM9Qx9HSdYRYxLijOibLQZGNI04hxmvvshbBG_0KnbL_BLtHZxz1hz3e3T6vf-cPf-z-rm4e8EtZOuTSIZVUWhjdemLKqCJDbxirUogZd11h4BYSy0GAEouISZCkKQMFNveQTdrnbHWN4nSlNrm-Tp67DgcKcHCgljdUA5YL-_AddhzkOy3cOtFlArgxfKL2jfAwpRWrcGNse48YBd1vt7pt2t9XudtqX5vnH_lz1VH_1Pj0vgNgBVb_-79V3PZ-SFQ</recordid><startdate>201504</startdate><enddate>201504</enddate><creator>Wiles, Kate S</creator><creator>Nortley, Ross</creator><creator>Siddiqui, Ata</creator><creator>Holmes, Paul</creator><creator>Nelson-Piercy, Catherine</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201504</creationdate><title>Reversible cerebral vasoconstriction syndrome: a rare cause of postpartum headache</title><author>Wiles, Kate S ; 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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Adult Biopsy Breastfeeding & lactation Cerebral Angiography Childbirth & labor Constriction, Pathologic - etiology Female Headache - complications Headaches Humans Hypertension Magnetic Resonance Imaging Medical imaging Postpartum Period Preeclampsia Pregnancy Urinalysis Vasospasm, Intracranial - diagnosis Vasospasm, Intracranial - ethnology Veins & arteries Womens health |
| title | Reversible cerebral vasoconstriction syndrome: a rare cause of postpartum headache |
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