A case of reversible cerebral vasospasm syndrome, which started with light headache in late pregnancy and was diagnosed with gynecology
Article ID: 11242
Details
Article ID: 11242
The patient was a 34-year-old pregnant woman who had two pregnancies and one parity. She had no complications or medical history. During her prenatal checkup at 35 weeks and 4 days of gestation, her blood pressure increased to 137/101 mmHg; she started taking nifedipine. The next day, her blood pressure remained high, and she complained of a slight headache; therefore, she was transferred to our hospital.
No abnormalities were observed on neurological examination or initial brain MRI. Because her blood pressure was 158/106 mmHg, nicardipine and magnesium sulfate were started. Furthermore, cesarean section was performed on day 2 of hospitalization. On day 3, a brain MRI revealed cerebral vasospasms. On day 4, her headache disappeared. On day 13, a brain MRI performed at the outpatient care center revealed improvement of the spasms. She was diagnosed with reversible cerebral vasospasm syndrome (RCVS).
Several studies have reported RCVS without spasms in the initial presentation or typical thunderclap headache; hence, RCVS at the perinatal period may be more common than previously thought.
