Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Case Report

. 2016; 7(2): 90-92


A Fatal Case of Postpartum Cerebral Angiopathy with Concurrent Cardiomyopathy

Syed Rafay A. Sabzwari, Yan Lin, Shengchuan Dai.

Abstract
Reversible Cerebral Vasoconstriction Syndrome (RCVS) is a rare postpartum
angiopathic syndrome which can cause ischemic or hemorrhagic stroke.
Peripartum cardiomyopathy (PPCM) is a non-ischemiccardiomyopathy that
also occurs postpartum. Here we report a case with concurrent of RCVS
and PPCM. 32 years old female presented with worsening headache since
her vaginal delivery six days ago. For a sudden onset left hemiplegia CT head
showed a large right basal ganglia intracerebral hemorrhage causing midline
shift leading to craniotomy.Cerebral angiogram done the next day showed
diffuse intracranial vasoconstriction suggestive of RCVS and this persisted
on angiogram a week later. Initial echocardiogram was normal with an ejection
fraction (EF) of 6065% that reduced to 1520% a week later. Postpartum
day 10 she had fixed, dilated pupils. CT brain showed tonsillar herniation
with apnea test confirming brain death. This case is the first one to show
the unique combination of two conditions, PPCM and RCVSand sheds more
light into perhaps common pathophysiologic mechanisms.

Key words: Postpartum Cerebral Angiopathy, Reversible Cerebral Vasoconstriction Syndrome, Peripartum cardiomyopathy, Subarachnoid hemorrhage.


Full-text options

Full-text Article




Advertisement


SUBMIT YOUR ARTICLE NOW




ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.