A case of postpartum cerebral angiitis and review of the literature
Purpose To better characterize postpartum cerebral angiitis (PPCA). Methods We present a case of PPCA in which a 34-year-old G6P5104 underwent a normal vaginal delivery and developed PPCA. She had no signs or symptoms of gestational hypertension or preeclampsia. She had a history of migraines and re...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2011-03, Vol.283 (3), p.663-668 |
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| container_title | Archives of gynecology and obstetrics |
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| creator | Bakhru, Arvind Atlas, Robert O. |
| description | Purpose
To better characterize postpartum cerebral angiitis (PPCA).
Methods
We present a case of PPCA in which a 34-year-old G6P5104 underwent a normal vaginal delivery and developed PPCA. She had no signs or symptoms of gestational hypertension or preeclampsia. She had a history of migraines and received methylergonovine at delivery. She represented postpartum with headache and hypertension. The patient had characteristic findings of cerebral angiitis on imaging, and was diagnosed with PPCA. She was treated with nimodipine and steroids. She was monitored with transcranial Dopplers.
Results
In reviewing the literature, we found 23 cases of PPCA. We found that none had proteinuria, most were hypertensive, and all presented with headache.
Conclusions
Use of sympathomimetic agents, particularly among those with migraines, may increase risk of PPCA. |
| doi_str_mv | 10.1007/s00404-010-1471-8 |
| format | Article |
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To better characterize postpartum cerebral angiitis (PPCA).
Methods
We present a case of PPCA in which a 34-year-old G6P5104 underwent a normal vaginal delivery and developed PPCA. She had no signs or symptoms of gestational hypertension or preeclampsia. She had a history of migraines and received methylergonovine at delivery. She represented postpartum with headache and hypertension. The patient had characteristic findings of cerebral angiitis on imaging, and was diagnosed with PPCA. She was treated with nimodipine and steroids. She was monitored with transcranial Dopplers.
Results
In reviewing the literature, we found 23 cases of PPCA. We found that none had proteinuria, most were hypertensive, and all presented with headache.
Conclusions
Use of sympathomimetic agents, particularly among those with migraines, may increase risk of PPCA.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-010-1471-8</identifier><identifier>PMID: 20419307</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Antihypertensive Agents - therapeutic use ; Cerebral Angiography ; Endocrinology ; Female ; Gynecology ; Human Genetics ; Humans ; Hypertension ; Hypertension - drug therapy ; Medicine ; Medicine & Public Health ; Migraine ; Migraine Disorders - drug therapy ; Nimodipine - therapeutic use ; Obstetrics/Perinatology/Midwifery ; Postpartum Period - drug effects ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - drug therapy ; Short Communication ; Steroids - therapeutic use ; Treatment Outcome ; Vasculitis, Central Nervous System - diagnosis ; Vasculitis, Central Nervous System - drug therapy</subject><ispartof>Archives of gynecology and obstetrics, 2011-03, Vol.283 (3), p.663-668</ispartof><rights>Springer-Verlag 2010</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2010). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-2eee27d2fa7046d1dc709fafa0ff54bd0ee8bae3ff1d12d3ec1d17a165b58fe23</citedby><cites>FETCH-LOGICAL-c403t-2eee27d2fa7046d1dc709fafa0ff54bd0ee8bae3ff1d12d3ec1d17a165b58fe23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-010-1471-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-010-1471-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20419307$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bakhru, Arvind</creatorcontrib><creatorcontrib>Atlas, Robert O.</creatorcontrib><title>A case of postpartum cerebral angiitis and review of the literature</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
To better characterize postpartum cerebral angiitis (PPCA).
Methods
We present a case of PPCA in which a 34-year-old G6P5104 underwent a normal vaginal delivery and developed PPCA. She had no signs or symptoms of gestational hypertension or preeclampsia. She had a history of migraines and received methylergonovine at delivery. She represented postpartum with headache and hypertension. The patient had characteristic findings of cerebral angiitis on imaging, and was diagnosed with PPCA. She was treated with nimodipine and steroids. She was monitored with transcranial Dopplers.
Results
In reviewing the literature, we found 23 cases of PPCA. We found that none had proteinuria, most were hypertensive, and all presented with headache.
Conclusions
Use of sympathomimetic agents, particularly among those with migraines, may increase risk of PPCA.</description><subject>Adult</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Cerebral Angiography</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - drug therapy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Migraine</subject><subject>Migraine Disorders - drug therapy</subject><subject>Nimodipine - therapeutic use</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Postpartum Period - drug effects</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - drug therapy</subject><subject>Short Communication</subject><subject>Steroids - therapeutic use</subject><subject>Treatment Outcome</subject><subject>Vasculitis, Central Nervous System - diagnosis</subject><subject>Vasculitis, Central Nervous System - drug therapy</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1LxEAMhgdR3HX1B3iRggdP1WQ67cwel8UvELzoeZi2mbVLu11nWsV_75SuCoJ4SkKevCF5GTtFuEQAeeUBBIgYEGIUEmO1x6YoEh6DRNxnU5gPOWRywo68XwMgVyo7ZBMOAucJyClbLqLCeIpaG21b322N6_omKshR7kwdmc2qqrrKh6SMHL1V9D6g3QtFddWRM13v6JgdWFN7OtnFGXu-uX5a3sUPj7f3y8VDXAhIupgTEZclt0aCyEosCwlza6wBa1ORl0CkckOJtVgiLxMqQpQGszRPlSWezNjFqLt17WtPvtNN5Quqa7Ohtvd6jir8IwH4l1Qpcp4BF4E8_0Wu295twhk6EKgUyGygcKQK13rvyOqtqxrjPjSCHqzQoxUahjpYoVWYOdsp93lD5ffE1-8DwEfAh9ZmRe5n9d-qn7JqkyQ</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Bakhru, Arvind</creator><creator>Atlas, Robert O.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</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>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20110301</creationdate><title>A case of postpartum cerebral angiitis and review of the literature</title><author>Bakhru, Arvind ; Atlas, Robert O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-2eee27d2fa7046d1dc709fafa0ff54bd0ee8bae3ff1d12d3ec1d17a165b58fe23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Cerebral Angiography</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - drug therapy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Migraine</topic><topic>Migraine Disorders - drug therapy</topic><topic>Nimodipine - therapeutic use</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Postpartum Period - drug effects</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - drug therapy</topic><topic>Short Communication</topic><topic>Steroids - therapeutic use</topic><topic>Treatment Outcome</topic><topic>Vasculitis, Central Nervous System - diagnosis</topic><topic>Vasculitis, Central Nervous System - drug therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bakhru, Arvind</creatorcontrib><creatorcontrib>Atlas, Robert O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bakhru, Arvind</au><au>Atlas, Robert O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of postpartum cerebral angiitis and review of the literature</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>283</volume><issue>3</issue><spage>663</spage><epage>668</epage><pages>663-668</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
To better characterize postpartum cerebral angiitis (PPCA).
Methods
We present a case of PPCA in which a 34-year-old G6P5104 underwent a normal vaginal delivery and developed PPCA. She had no signs or symptoms of gestational hypertension or preeclampsia. She had a history of migraines and received methylergonovine at delivery. She represented postpartum with headache and hypertension. The patient had characteristic findings of cerebral angiitis on imaging, and was diagnosed with PPCA. She was treated with nimodipine and steroids. She was monitored with transcranial Dopplers.
Results
In reviewing the literature, we found 23 cases of PPCA. We found that none had proteinuria, most were hypertensive, and all presented with headache.
Conclusions
Use of sympathomimetic agents, particularly among those with migraines, may increase risk of PPCA.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20419307</pmid><doi>10.1007/s00404-010-1471-8</doi><tpages>6</tpages></addata></record> |
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| ispartof | Archives of gynecology and obstetrics, 2011-03, Vol.283 (3), p.663-668 |
| issn | 0932-0067 1432-0711 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Antihypertensive Agents - therapeutic use Cerebral Angiography Endocrinology Female Gynecology Human Genetics Humans Hypertension Hypertension - drug therapy Medicine Medicine & Public Health Migraine Migraine Disorders - drug therapy Nimodipine - therapeutic use Obstetrics/Perinatology/Midwifery Postpartum Period - drug effects Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - drug therapy Short Communication Steroids - therapeutic use Treatment Outcome Vasculitis, Central Nervous System - diagnosis Vasculitis, Central Nervous System - drug therapy |
| title | A case of postpartum cerebral angiitis and review of the literature |
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