Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum

Yumiko Nakano; Shunya Fujiwara; Yosio Omote; Motonori Takamiya; Hisashi Narai; Yasuhiro Manabe

doi:10.1159/000527600

Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum

Yumiko Nakano, Shunya Fujiwara, Yosio Omote, Motonori Takamiya, Hisashi Narai, Yasuhiro Manabe

Research output: Contribution to journal › Article › peer-review

Abstract

We report 2 cases of reversible cerebral vasoconstriction syndrome (RCVS) associated with postpartum. In case 1, a 26-year-old woman developed sudden-onset headache, nausea, and vomiting 1 h after an uncomplicated vaginal delivery. In case 2, a 27-year-old woman developed generalized seizures 9 days after an uncomplicated vaginal delivery. In both cases, initial angiographic studies showed no significant vasoconstriction; however, repeat studies revealed reversible vasoconstriction. Serial magnetic resonance imaging (MRI) revealed transient brain lesions during 6 months. RCVS remains poorly characterized, misdiagnosed, and under-recognized. Serial MRI and magnetic resonance angiographic findings may contribute to diagnosis of RCVS.

Original language	English
Pages (from-to)	421-426
Number of pages	6
Journal	Case Reports in Neurology
Volume	14
Issue number	3
DOIs	https://doi.org/10.1159/000527600
Publication status	Published - Oct 31 2022
Externally published	Yes

Keywords

Magnetic resonance angiography
Magnetic resonance imaging
Postpartum
Reversible cerebral vasoconstriction syndrome

ASJC Scopus subject areas

Clinical Neurology

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10.1159/000527600

Cite this

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title = "Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum",

abstract = "We report 2 cases of reversible cerebral vasoconstriction syndrome (RCVS) associated with postpartum. In case 1, a 26-year-old woman developed sudden-onset headache, nausea, and vomiting 1 h after an uncomplicated vaginal delivery. In case 2, a 27-year-old woman developed generalized seizures 9 days after an uncomplicated vaginal delivery. In both cases, initial angiographic studies showed no significant vasoconstriction; however, repeat studies revealed reversible vasoconstriction. Serial magnetic resonance imaging (MRI) revealed transient brain lesions during 6 months. RCVS remains poorly characterized, misdiagnosed, and under-recognized. Serial MRI and magnetic resonance angiographic findings may contribute to diagnosis of RCVS.",

keywords = "Magnetic resonance angiography, Magnetic resonance imaging, Postpartum, Reversible cerebral vasoconstriction syndrome",

author = "Yumiko Nakano and Shunya Fujiwara and Yosio Omote and Motonori Takamiya and Hisashi Narai and Yasuhiro Manabe",

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T1 - Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum

AU - Nakano, Yumiko

AU - Fujiwara, Shunya

AU - Omote, Yosio

AU - Takamiya, Motonori

AU - Narai, Hisashi

AU - Manabe, Yasuhiro

PY - 2022/10/31

Y1 - 2022/10/31

N2 - We report 2 cases of reversible cerebral vasoconstriction syndrome (RCVS) associated with postpartum. In case 1, a 26-year-old woman developed sudden-onset headache, nausea, and vomiting 1 h after an uncomplicated vaginal delivery. In case 2, a 27-year-old woman developed generalized seizures 9 days after an uncomplicated vaginal delivery. In both cases, initial angiographic studies showed no significant vasoconstriction; however, repeat studies revealed reversible vasoconstriction. Serial magnetic resonance imaging (MRI) revealed transient brain lesions during 6 months. RCVS remains poorly characterized, misdiagnosed, and under-recognized. Serial MRI and magnetic resonance angiographic findings may contribute to diagnosis of RCVS.

AB - We report 2 cases of reversible cerebral vasoconstriction syndrome (RCVS) associated with postpartum. In case 1, a 26-year-old woman developed sudden-onset headache, nausea, and vomiting 1 h after an uncomplicated vaginal delivery. In case 2, a 27-year-old woman developed generalized seizures 9 days after an uncomplicated vaginal delivery. In both cases, initial angiographic studies showed no significant vasoconstriction; however, repeat studies revealed reversible vasoconstriction. Serial magnetic resonance imaging (MRI) revealed transient brain lesions during 6 months. RCVS remains poorly characterized, misdiagnosed, and under-recognized. Serial MRI and magnetic resonance angiographic findings may contribute to diagnosis of RCVS.

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KW - Magnetic resonance imaging

KW - Postpartum

KW - Reversible cerebral vasoconstriction syndrome

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Serial Magnetic Resonance Imaging and Magnetic Resonance Angiographic Findings of Reversible Cerebral Vasoconstriction Syndrome Associated with Postpartum

Abstract

Keywords

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