Reversible cerebral vasoconstriction syndrome in the backdrop of cerebral venous thrombosis: A post-partum catastrophe
Journal Title: Indian Journal of Case Reports - Year 2018, Vol 4, Issue 5
Abstract
Reversible cerebral vasoconstriction syndrome (RCVS) is an under-recognized condition characterized by the association of acute severe headaches, often of the thunderclap type, with or without additional neurological symptoms, and multifocal constriction of cerebral arteries, that resolve spontaneously within 1–3 months. Here, we report a rare case of post-partum stroke, where cerebral venous thrombosis was followed in quick succession by RCVS. A 24-year-old lady in her immediate post-partum period developed headache, seizure, and papilledema. After a subsequent episode of a severe headache, she had right hemiparesis and dysarthria. Computed tomography and magnetic resonance venography confirmed the presence of thrombosis. Afterward, she had another episode of a severe headache with altered sensorium. MR imaging of the brain revealed widespread infarct in bilateral medial frontal areas, and MR angiography was suggestive of segmental constriction of cerebral arteries bilaterally. The subsequent clinical course was uneventful with slow recovery. Repeat brain imaging, after 4 weeks, revealed near-total disappearance of diffusion restriction and subsidence of the beading pattern in the cerebral vasculature. This rare case depicts the co-occurrence of venous and arterial angiopathies in the setting of a post-partum headache with the stroke that led to a challenging clinical scenario.
Authors and Affiliations
Durjoy Lahiri, Vishal Madhukar Sawale, Souvik Dubey, Biman Kanti Roy
Keywords
Related Articles
- EP ID EP506284
- DOI -
- Views 69
- Downloads 0
A rare case of schwannoma of maxillary sinus
Schwann cell tumor or schwannomas is the benign nerve sheath tumors, which arise mostly from head and neck region and rarely from the nasal and paranasal sinuses. Of these, very few arise solely from the maxillary sinus....
Management of isolated lateral orbital wall blow-in fracture with optic nerve compression - Time is vision
Blow-in fracture of orbit usually involves floor and medial wall. The lateral wall of an orbit is the strongest wall to prevent blow in. Blow-in fracture of an orbit with severe proptosis and fracture segment pressing on...
Gastric schwannoma: An important differential for gastric submucosal tumors - A rare case report
Schwannomas are slow-growing asymptomatic neoplasms that rarely occur in the gastrointestinal (GI) tract. It is a submucosal tumor arising in the neural plexus of the stomach. We herein describe the case of a 60-year-old...
An isolated palmar scaphoid dislocation with undisplaced fracture: A case report and review of literature
Isolated carpal scaphoid dislocation is an extremely uncommon injury. Various methods have been used to treat the scaphoid dislocations, which involves open reduction and K-wire fixation with or without ligament repair o...
Brunner gland hyperplasia of duodenum: A rare case mimicking malignancy with obstruction
An extremely uncommon benign tumor of duodenum, Brunner gland hyperplasia (BGH), is hereby reported in a 51-year-old male, who presented with recurrent vomiting and epigastric discomfort. Upper gastrointestinal endoscopy...