Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium

Authors

  • Tiago Rodrigues Serviço de Neurorradiologia. Centro Hospitalar do Porto. Porto. Portugal.
  • Rui Loureiro Serviço de Neurologia. Centro Hospitalar do Porto. Porto. Portugal.
  • Raquel Samões Serviço de Neurologia. Centro Hospitalar do Porto. Porto. Portugal.
  • Viriato Alves Serviço de Neurorradiologia. Centro Hospitalar do Porto. Porto. Portugal.
  • Cristina Ramos Serviço de Neurorradiologia. Centro Hospitalar do Porto. Porto. Portugal.
  • Carlos Correia Serviço de Neurologia. Centro Hospitalar do Porto. Porto. Portugal.

DOI:

https://doi.org/10.20344/amp.4923

Abstract

Reversible cerebral vasoconstriction syndrome is a rare cerebrovascular disorder characterized by cerebral arterial segmental vasoconstriction, usually spontaneously reversible. This disease can occur in the postpartum period, manifesting itself through acute neurologic symptoms, and the imaging studies play a fundamental role in its diagnosis. Although classically considered a benign and self-limiting disease, it may present less favorable courses with significant associated morbidity and mortality. We describe a case of reversible cerebral vasoconstriction syndrome in the puerperium, with progressive cerebral vasospasm causing ischemic and hemorrhagic strokes. We intend to make an alert to the potential complications of this entity that demand a close clinical and imagiological monitoring.
Keywords: Stroke; Cerebral Arteries; Puerperal Disorders; Vasoconstriction; Vasospasm, Intracranial.

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Author Biographies

Tiago Rodrigues, Serviço de Neurorradiologia. Centro Hospitalar do Porto. Porto. Portugal.

Rui Loureiro, Serviço de Neurologia. Centro Hospitalar do Porto. Porto. Portugal.

Raquel Samões, Serviço de Neurologia. Centro Hospitalar do Porto. Porto. Portugal.

Viriato Alves, Serviço de Neurorradiologia. Centro Hospitalar do Porto. Porto. Portugal.

Cristina Ramos, Serviço de Neurorradiologia. Centro Hospitalar do Porto. Porto. Portugal.

Carlos Correia, Serviço de Neurologia. Centro Hospitalar do Porto. Porto. Portugal.

Published

2014-08-25

How to Cite

1.
Rodrigues T, Loureiro R, Samões R, Alves V, Ramos C, Correia C. Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium. Acta Med Port [Internet]. 2014 Aug. 25 [cited 2024 Nov. 22];27(4):515-8. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/4923

Issue

Section

Case Report