Bromocriptine and postpartum cerebral angiopathy: a causal relationship?
We describe a postpartum 30-year-old woman who developed headaches, hypertension, and speech disturbances after bromocriptine treatment to suppress lactation. Brain MRI revealed intraparenchymal hematomas, and an angiographic study showed multiple arterial segmental narrowings compatible with postpartum cerebral angiopathy. We also comment on other cases of postpartum cerebral angiopathy.
Comabella
M
M
Department of Neurology, Hospital General Universitari Vall d'Hebron, Barcelona, Spain.
Alvarez-Sabin
J
J
Rovira
A
A
Codina
A
A
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000139:chemically induced* / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D001160:Arterioles / Q000000981:diagnostic imaging / Q000473:pathology; D001971:Bromocriptine / Q000009:adverse effects*; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000473:pathology*; D002543:Cerebral Hemorrhage / Q000139:chemically induced* / Q000150:complications / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology; D006727:Hormone Antagonists / Q000009:adverse effects*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000175:diagnosis; D007774:Lactation / Q000187:drug effects; D011247:Pregnancy; D011644:Puerperal Disorders / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D013064:Speech Disorders / Q000209:etiology; D014661:Vasoconstriction / Q000187:drug effects
D006727:Hormone Antagonists; D001971:Bromocriptine