title: Postpartum cerebral angiopathy presenting with non-aneurysmal subarachnoid hemorrhage.
abstract: Parturition increases the risk of strokes of various types, including postpartum cerebral angiopathy (PCA), which is characterized by reversible multifocal vasoconstriction of the cerebral arteries. We describe an unusual presentation of PCA associated with postpartum non-aneurysmal subarachnoid hemorrhage (SAH). A 31-year-old multiparous woman complained of sudden headache 3 hours after an uncomplicated vaginal delivery. She had no history of pregnancy-induced hypertension. SAH was found over the bilateral frontoparietal convexities with multifocal vasculopathy. Her symptoms resolved completely within 1 week. The findings of a follow-up neurological examination, cerebral angiography, and brain MRI were normal after 2 months. PCA syndrome may be associated with postpartum non-aneurysmal SAH.
authors.affiliation: Department of Neurology, College of Medicine, Kangwon National University, 26 Kangwon Dahak-Ro, Chuncheon-Si, Kangwon-Do 200-722, South Korea.
authors.forename: Seo-Young
authors.initials: SY
authors.lastname: Lee
authors.forename: Seung Hun
authors.initials: SH
authors.lastname: Sheen
authors.forename: Seung Hwan
authors.initials: SH
authors.lastname: Lee
authors.forename: Sam Soo
authors.initials: SS
authors.lastname: Kim
authors.forename: Chung Hyo
authors.initials: CH
authors.lastname: Kim
authors.forename: Kil Soo
authors.initials: KS
authors.lastname: Yie
authors.forename: Sung Hun
authors.initials: SH
authors.lastname: Kim
mesh_terms: D000328:Adult; D002533:Cerebral Angiography / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D049590:Postpartum Period; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods