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Year :2025
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Month :
January-February
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Volume :
14
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Issue :
1
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Page :
RS01 - RS03
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Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series
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Correspondence Address :
Dillibabu Raghavan, P Prathiba Rajalakshmi, G Navaneetha Kumar, K Srinivasan, G Murugan,
Dr. P Prathiba Rajalakshmi,
Assistant Professor, Department of Radiodiagnosis, Sree Balaji Medical College and Hospital, 7, CLC Works Road, Chromepet, Chennai-600044, Tamil Nadu, India.
E-mail: drksvasan@gmail.com
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Introduction: Postpartum Reversible Cerebral Vasoconstriction Syndrome (RCVS), previously known as postpartum angiopathy, presents within four weeks of delivery. Recurrent episodes of severe headache, seizures, focal neurologic deficits and photophobia are the common presentations of RCVS. Hereby the authors report a series of patients (30-year-old, 26-year-old and 29-year-old females) who presented with neurologic symptoms ranging from severe headache to altered sensorium and seizures. Imaging revealed a multitude of findings, from normal-appearing parenchyma to lobar and subarachnoid haemorrhage. Computed Tomography (CT) and Magnetic Resonance Angiographic (MRA) studies showed multiple areas of vasoconstriction and beaded appearance of the cerebral arteries in all three patients, which completely resolved within 12 weeks of the onset of symptoms, suggesting RCVS. Imaging in the acute setting plays a pivotal role in identifying the vasoconstriction and ruling out other neurological emergencies in the postpartum period.
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