Postpartum cerebral vasospasm treated with hypervolemic therapy

P. T. Akins, K. J. Levy, A. H. Cross, M. P. Goldberg, M. H. Schieber

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

In a 23-year-old woman, gravida 1, para 1-0-0-1, headaches and seizures developed 1 week after an uncomplicated delivery. Cerebral angiography revealed severe, diffuse cerebral vasospasm. Her symptoms resolved with hyperosmolar, hypervolemic therapy and nimodipine. Magnetic resonance angiography on postpartum day 23 confirmed persistent, severe vasospasm, and repeat magnetic resonance angiography on postpartum day 33 demonstrated interval improvement. This report documents the time course of a case of postpartum vasospasm and its response to hypervolemic, hyperosmolar therapy and nimodipine.

Original languageEnglish
Pages (from-to)1386-1388
Number of pages3
JournalAmerican journal of obstetrics and gynecology
Volume175
Issue number5
DOIs
StatePublished - Jan 1 1996

Keywords

  • Cerebral vasospasm
  • angiography (magnetic resonance)
  • eclampsia
  • puerperium

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