Prolonged and recurrent reversible cerebral vasoconstriction syndrome in the postpartum period.

IF 2.3 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2025-08-12 DOI:10.1136/pn-2025-004594

Cheran Elangovan, Linda Sherine Alfred, Nariman Noorbakhsh-Sabet, Shree Shanmathi Selvaraj Gandhirajhu, Nitin Goyal, Balaji Krishnaiah

引用次数: 0

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) can develop in the early postpartum period and generally has a good prognosis. A 35-year-old woman developed postpartum RCVS, which had started as severe headache after a blood transfusion; a diagnostic cerebral angiogram showed diffuse vasospasm of intracranial vessels. Her clinical course was complicated by subarachnoid haemorrhage, strokes, seizure and recurrent vasospasm, which lasted for 4 weeks. The vasospasm was refractory to nifedipine and nimodipine but improved with intra-arterial verapamil, followed by oral verapamil and magnesium oxide.

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产后长期复发的可逆性脑血管收缩综合征。

可逆性脑血管收缩综合征（RCVS）可发生于产后早期，一般预后较好。一名35岁的女性出现产后RCVS，最初表现为输血后的严重头痛；诊断性脑血管造影显示颅内血管弥漫性痉挛。她的临床过程有蛛网膜下腔出血、中风、癫痫发作和复发性血管痉挛，持续4周。硝苯地平和尼莫地平治疗后血管痉挛难治，但经动脉内注射维拉帕米、口服维拉帕米和氧化镁治疗后血管痉挛有所改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.