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Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series |
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Dillibabu Raghavan, P Prathiba Rajalakshmi, G Navaneetha Kumar, K Srinivasan, G Murugan 1. Senior Consultant, Department of Radiology, SRM Scans and Labs, New Delhi, India. 2. Assistant Professor, Department of Radiodiagnosis, Sree Balaji Medical College, Chennai, Tamil Nadu, India. 3. Senior Resident, Department of Radiology, Omandurar Medical College, Chennai, Tamil Nadu, India. 4. Senior Consultant, Department of Radiology, Dr. Rela Institute and Medical Centre, Chennai, Tamil Nadu, India. 5. Professor and Head, Department of Radiodiagnosis, Sree Balaji Medical College, Chennai, Tamil Nadu, India. |
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Correspondence Address : 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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| ABSTRACT |  | ||||||
: 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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| Keywords : Angiopathy, Arterial beading, Puerperium | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2025/75222.3032
Date of Submission: Sep 05, 2024 Date of Peer Review: Nov 06, 2024 Date of Acceptance: Nov 20, 2024 Date of Publishing: Jan 01, 2025 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Sep 09, 2024 • Manual Googling: Nov 11, 2024 • iThenticate Software: Nov 19, 2024 (8%) ETYMOLOGY: Author Origin EMENDATIONS: 5 |
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