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 CASE REPORT
Year : 2013  |  Volume : 61  |  Issue : 5  |  Page : 517--522

Postpartum cerebral angiopathy presenting with non-aneurysmal subarachnoid hemorrhage and interval development of neurological deficits: A case report and review of literature


1 Department of Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China
2 Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA

Correspondence Address:
Li Yang
Department of Neurology, The Second Xiangya Hospital, Central South University, No. 139 Middle Renmin Road, Changsha, Hunan - 410011
P.R. China
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Source of Support: This work was supported by the Natural Science Foundation of China (No. 81301988) to Li Yang, Conflict of Interest: None


DOI: 10.4103/0028-3886.121933

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Postpartum cerebral angiopathy (PCA) is a cerebrovascular disease that occurs during the postpartum period. It is characterized by reversible multifocal vasoconstriction of the cerebral arteries. We report a patient with PCA proven by cerebral angiography that revealed multifocal, segmental narrowing of the cerebral arteries and non-aneurysmal subarachnoid hemorrhage. The patient suddenly deteriorated with focal neurological deficits on the 5 th day of hospitalization. She was treated with calcium-channel blockers and monitored with daily transcranial Doppler ultrasound. Her symptoms gradually improved and she was discharged on the 11 th day of hospitalization. At 1-month follow-up, patient was completely symptom-free with no neurological deficits.






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Online since 20th March '04
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