Reversible Cerebral Vasoconstriction Syndrome (RCVS) with Late Presentation After Abortion and Multiple Neurologic Complications: A Case Report

  • elyar sadeghi-hokmabadi Neuroscience Research Center, Neurology Department, Tabriz University of Medical sciences
  • Yalda Sadeghpour Neuroscience Research Center, Neurology Department, Tabriz University of Medical sciences
  • saeid charsouei Neuroscience Research Center, Neurology Department, Tabriz University of Medical sciences
  • asghar alejafar Neuroscience Research Center, Neurology Department, Tabriz University of Medical sciences
  • sona abolhasani Neuroscience Research Center, Neurology Department, Tabriz University of Medical sciences
  • sara mafi Neuroscience Research Center, Neurology Department, Tabriz University of Medical sciences

Abstract

RCVS is a cerebrovascular disorder that can be occur as late as 3 weeks after an uncomplicated pregnancy, characteristic neuroimaging finding accompanied by severe and acute headache are important key features to consider RCVS diagnosis.

Here were present a 39-year-old woman, presented with headache and subsequent right hemiparesis 3 weeks after abortion. First brain CT scan was unremarkable. Brain CT angiography showed multiple segmental stenosis and at later scans, she developed sub arachnid hemorrhage (SAH) which is a pathognomonic feature of RCVS. She was treated with calcium channel blocker and headache relieved and hemiparesis was improved. Final diagnosis was made based on normal trans-cranial Doppler (TCD) study after 4 weeks of symptoms onset.

Published
2020-02-04
Section
Case Report