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Reversible cerebral vasoconstriction syndrome presenting as subarachnoid hemorrhage: A rare cause of postpartum seizure

Title
Reversible cerebral vasoconstriction syndrome presenting as subarachnoid hemorrhage: A rare cause of postpartum seizure
Authors
Lee S.H.Yun S.J.Choi Y.H.
Ewha Authors
최윤희
SCOPUS Author ID
최윤희scopus
Issue Date
2017
Journal Title
American Journal of Emergency Medicine
ISSN
0735-6757JCR Link
Citation
vol. 35, no. 5, pp. 8.07E03 - 8.07E05
Keywords
Cerebral angiographyMRIPostpartum seizureReversible cerebral vasoconstriction syndromeSubarachnoid hemorrhage
Publisher
W.B. Saunders
Indexed
SCIE; SCOPUS scopus
Abstract
Reversible cerebral vasoconstriction syndrome (RCVS) is a rare cerebrovascular disorder affecting large- and medium-sized arteries, occurring most commonly in young women. Thunderclap headache is the usual primary symptom; seizure is uncommon. During the postpartum period, seizure is a significant concern. The main causes of postpartum seizures are posterior reversible encephalopathy syndrome and cortical venous thrombosis; RCVS-related postpartum seizure is rare. Despite its rarity, its course may be fulminant, resulting in permanent disability or death if the diagnosis is delayed and treatment is not started promptly. We report an unusual case of RCVS presenting as a subarachnoid hemorrhage in a 31-year-old woman admitted for postpartum seizure. © 2016 Elsevier Inc.
DOI
10.1016/j.ajem.2016.12.021
Appears in Collections:
의과대학 > 의학과 > Journal papers
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