Eclamptic subarachnoid haemorrhage without hypertension.
Subarachnoid haemorrhage in pregnancy is often the result of aneurysmal rupture or severe hypertension. A young woman with postpartum eclampsia and 'normal' blood pressure developed sudden-onset head pain, and was found to have minor biconvexity subarachnoid hemorrhages. Serial angiograms of the cervicocranial vessels revealed no evidence of aneurysm or arteriovenous malformation. A follow-up angiogram revealed diffuse vessel narrowing, consistent with postpartum angiopathy. Treatment consisted only of nimodipine for the prevention of vasospasm. The patient made an excellent recovery, without residual neurological deficits.
Moussouttas
Michael
M
NJ Neuroscience Institute, JFK Medical Center, Edison, New Jersey 08818, USA. arista1@pol.net
Abubakr
Abuhuziefa
A
Grewal
Raji Pail
RP
Papamitsakis
Nikolaos
N