title: Postpartum cerebral vasospasm treated with hypervolemic therapy.
abstract: In a 23-year-old woman, gravida 1, para 1-0-0-1, headaches and seizures developed 1 week after an uncomplicated delivery. Cerebral angiography revealed severe, diffuse cerebral vasospasm. Her symptoms resolved with hyperosmolar, hypervolemic therapy and nimodipine. Magnetic resonance angiography on postpartum day 23 confirmed persistent, severe vasospasm, and repeat magnetic resonance angiography on postpartum day 33 demonstrated interval improvement. This report documents the time course of a case of postpartum vasospasm and its response to hypervolemic, hyperosmolar therapy and nimodipine.
authors.affiliation: Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: P T
authors.initials: PT
authors.lastname: Akins
authors.forename: K J
authors.initials: KJ
authors.lastname: Levy
authors.forename: A H
authors.initials: AH
authors.lastname: Cross
authors.forename: M P
authors.initials: MP
authors.lastname: Goldberg
authors.forename: M H
authors.initials: MH
authors.lastname: Schieber
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000628:therapy*; D009553:Nimodipine / Q000627:therapeutic use; D011247:Pregnancy; D011644:Puerperal Disorders / Q000628:therapy*
chemical_list: D009553:Nimodipine