Korean J Perinatol.  2012 Sep;23(3):204-208.

A Case of Reversible Cerebral Vasoconstriction Syndrome in a Patient Complicated with Preeclampsia

Affiliations
  • 1Department of Obstetrics and Gynecology, School of Medicine, Pusan National University, Busan, Korea. ksch0127@naver.com
  • 2Department of Radiology, School of Medicine, Pusan National University, Busan, Korea.

Abstract

The reversible cerebral vasoconstriction syndromes (RCVS) is a group of conditions, which is characterized by a reversible segmental constriction, typically associated with recurrent thunderclap headaches, and is often complicated by ischemia or hemorrhagic stroke. Clinical situations, associated with the development of RCVS, include pregnancy or the postpartum period, as well as various medications and illicit drugs. However, vasoconstriction syndromes remain poorly characterized, under-recognized, and difficult to diagnose, because of the lack of specific diagnostic tests or diagnostic criteria. Therefore, we present a first case of reversible cerebral vasoconstriction syndrome of pregnancy complicated with preeclampsia, diagnosed by a magnetic resonance image and angiography, which results in chronic cerebral infarction, with a brief review of the relevant literature.

Keyword

Cerebral infarction; Magnetic resonance imaging; Preeclampsia; Pregnant; Reversible cerebral vasoconstriction syndrome

MeSH Terms

Angiography
Cerebral Infarction
Constriction
Diagnostic Tests, Routine
Headache
Humans
Ischemia
Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
Postpartum Period
Pre-Eclampsia
Pregnancy
Street Drugs
Stroke
Vasoconstriction
Street Drugs
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