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

Elyar Sadeghi-Hokmabadi; Yalda Sadeghpour; Saeid Charsouei; Asghar Alejafar; Sona Abolhasani; Sara Mafi

doi:10.13183/jecns.v7i1.101

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

DOI: https://doi.org/10.13183/jecns.v7i1.101

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.