Delayed angiographic changes in postpartum cerebral angiopathy.
Postpartum cerebral angiopathy is a well-recognised subgroup of the reversible vasoconstriction syndromes. Increasingly described is a delay between clinical onset and angiographic changes. We report a patient who presented 19 days postpartum with severe thunderclap headaches, vertigo and a seizure. The clinical syndrome preceded evidence of extensive vasoconstriction on MRA imaging by 15 days; the changes were reversible at 3 months.
Department of Neurology and Neurophysiology, Liverpool Hospital, Locked bag 7103, NSW 1871, Australia.
Darshan
D
Ghia
Ramesh
R
Cuganesan
Cecilia
C
Cappelen-Smith
D000328:Adult; D016640:Diabetes, Gestational; D005260:Female; D051270:Headache Disorders, Primary / Q000209:etiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D049590:Postpartum Period; D011247:Pregnancy; D011859:Radiography; D012640:Seizures / Q000209:etiology; D012907:Smoking; D020301:Vasospasm, Intracranial / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014717:Vertigo / Q000209:etiology