Severe Postpartum Headache and Hypertension Caused by Reversible Cerebral Vasoconstriction Syndrome : A Case Report
Reversible cerebrovascular vasoconstriction syndrome is an uncommon condition that presents as severe headache and hypertension. Recent literature suggests a 1% incidence in postpartum headache cases. It can cause subarachnoid hemorrhages, cerebral ischemia, and seizures. It is often misdiagnosed as postdural puncture headache or preeclampsia. In this case, a postpartum woman, who had received epidural anesthesia for labor, presented 5 days postpartum with severe headache that did not resolve with an epidural blood patch. She then became more hypertensive and suffered a grand mal seizure. When treatment for eclampsia failed to resolve her symptoms, magnetic resonance angiography was performed. It demonstrated the pathognomic signs of reversible cerebrovascular vasoconstriction syndrome. Her symptoms resolved with nimodipine.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2017 |
---|---|
Erschienen: |
2017 |
Enthalten in: |
Zur Gesamtaufnahme - volume:9 |
---|---|
Enthalten in: |
A & A case reports - 9(2017), 10 vom: 15. Nov., Seite 289-291 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
McIlroy, Ed [VerfasserIn] |
---|
Links: |
---|
Themen: |
---|
Anmerkungen: |
Date Completed 22.02.2018 Date Revised 22.02.2018 published: Print Citation Status MEDLINE |
---|
doi: |
10.1213/XAA.0000000000000595 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM273732250 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM273732250 | ||
003 | DE-627 | ||
005 | 20231225001913.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2017 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1213/XAA.0000000000000595 |2 doi | |
028 | 5 | 2 | |a pubmed24n0912.xml |
035 | |a (DE-627)NLM273732250 | ||
035 | |a (NLM)28697030 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a McIlroy, Ed |e verfasserin |4 aut | |
245 | 1 | 0 | |a Severe Postpartum Headache and Hypertension Caused by Reversible Cerebral Vasoconstriction Syndrome |b A Case Report |
264 | 1 | |c 2017 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 22.02.2018 | ||
500 | |a Date Revised 22.02.2018 | ||
500 | |a published: Print | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Reversible cerebrovascular vasoconstriction syndrome is an uncommon condition that presents as severe headache and hypertension. Recent literature suggests a 1% incidence in postpartum headache cases. It can cause subarachnoid hemorrhages, cerebral ischemia, and seizures. It is often misdiagnosed as postdural puncture headache or preeclampsia. In this case, a postpartum woman, who had received epidural anesthesia for labor, presented 5 days postpartum with severe headache that did not resolve with an epidural blood patch. She then became more hypertensive and suffered a grand mal seizure. When treatment for eclampsia failed to resolve her symptoms, magnetic resonance angiography was performed. It demonstrated the pathognomic signs of reversible cerebrovascular vasoconstriction syndrome. Her symptoms resolved with nimodipine | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a Journal Article | |
650 | 7 | |a Nimodipine |2 NLM | |
650 | 7 | |a 57WA9QZ5WH |2 NLM | |
700 | 1 | |a Sethuraman, Rajamani |e verfasserin |4 aut | |
700 | 1 | |a Woograsingh, Reshma |e verfasserin |4 aut | |
700 | 1 | |a Nelson-Piercy, Catherine |e verfasserin |4 aut | |
700 | 1 | |a Gilbert-Kawai, Edward |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t A & A case reports |d 2013 |g 9(2017), 10 vom: 15. Nov., Seite 289-291 |w (DE-627)NLM245557156 |x 2325-7237 |7 nnns |
773 | 1 | 8 | |g volume:9 |g year:2017 |g number:10 |g day:15 |g month:11 |g pages:289-291 |
856 | 4 | 0 | |u http://dx.doi.org/10.1213/XAA.0000000000000595 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 9 |j 2017 |e 10 |b 15 |c 11 |h 289-291 |