학술논문
Postpartum cerebral angiopathy: An important diagnostic consideration in the postpartum period
Document Type
Academic Journal
Source
American Journal of Obstetrics and Gynecology. Jul 01, 2004 191(1):375-377
Subject
Language
English
ISSN
0002-9378
Abstract
A 32-year-old woman, gravida 4, para 2, presented with a severe headache 5 days after she had a vaginal delivery with epidural anesthesia. Nine days later she had neurologic symptoms develop. Magnetic resonance imaging and cerebral angiogram were abnormal with evidence of a vasculitis consistent with postpartum cerebral angiopathy. The patient received both methylprednisolone and cyclophosphamide pulses with improvement of her symptoms. This is an important diagnosis for obstetricians to consider because it may result in serious neurologic damage if it is not diagnosed and treated early.