title: Postpartum cerebral angiopathy presenting with non-aneurysmal subarachnoid hemorrhage and interval development of neurological deficits: a case report and review of literature.
abstract: Postpartum cerebral angiopathy (PCA) is a cerebrovascular disease that occurs during the postpartum period. It is characterized by reversible multifocal vasoconstriction of the cerebral arteries. We report a patient with PCA proven by cerebral angiography that revealed multifocal, segmental narrowing of the cerebral arteries and non-aneurysmal subarachnoid hemorrhage. The patient suddenly deteriorated with focal neurological deficits on the 5 th day of hospitalization. She was treated with calcium-channel blockers and monitored with daily transcranial Doppler ultrasound. Her symptoms gradually improved and she was discharged on the 11 th day of hospitalization. At 1-month follow-up, patient was completely symptom-free with no neurological deficits.
authors.affiliation: Department of Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
authors.forename: Li
authors.initials: L
authors.lastname: Yang
authors.forename: Harrison X
authors.initials: HX
authors.lastname: Bai
authors.forename: Xin
authors.initials: X
authors.lastname: Zhao
authors.forename: Yanqiao
authors.initials: Y
authors.lastname: Xiao
authors.forename: Liming
authors.initials: L
authors.lastname: Tan
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D002539:Cerebral Arterial Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D010291:Paresis / Q000209:etiology*; D049590:Postpartum Period; D011644:Puerperal Disorders / Q000000981:diagnostic imaging*; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging*