Reversible cerebral vasoconstriction syndrome presenting as convexity subarachnoid hemorrhage and posterior reversible encephalopathy syndrome during postpartum: A case report and literature review
- Author:
Zejin Jia
;
Wei Qin
;
Wenli Hu
;
Junliang Yuan
- Publication Type:Case Reports
- Keywords:
Reversible cerebral vasoconstriction syndrome;
convexity subarachnoid hemorrhage;
posterior reversible encephalopathy syndrome;
stroke
- From:Neurology Asia
2020;25(1):53-57
- CountryMalaysia
- Language:English
-
Abstract:
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and
reversible cerebral vasoconstriction, with other neurologic signs and symptoms. To the best of our
knowledge, there were only a few cases of RCVS presenting both as both convexity subarachnoid
hemorrhage (cSAH) and posterior reversible encephalopathy syndrome (PRES). Herein, we report a
case of a 32-year-old woman with RCVS who presented with recurrent thunderclap headaches that
occurred 50 days after delivery, with cSAH and PRES on magnetic resonance imaging (MRI). She
had significant clinical and radiological recovery on 3 months’ follow-up. The clinical coexistence of
cSAH and PRES in our case with RCVS is quite rare. This case illustrates the importance of awareness
of the diagnosis of RCVS among clinicians even when initial brain and vascular imaging are normal.
Early diagnosis and treatment are crucial for better prognosis.
- Full text:7.2020my0008.pdf
