Journal of the Korean Society of Stereotactic and Functional Neurosurgery 2015;11(1):29-33.
Published online June 30, 2015.
Reversible Cerebral Vasoconstriction Syndrome (RCVS) Presented with Posterior Reversible Encephalopathy Syndrome (PRES) after Miscarriage : A Case Report
Hui Tae Kim, Jung Soo Park, Eun Jeong Koh, Jong Myong Lee, Ha Young Choi
Department of Neurosurgery, Research Institute of Clinical Medicine of Chonbuk National University School and Hospital, Jeonju, Korea
Abstract
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by acute severe recurrent headache with or without additional neurological symptoms and multifocal narrowing of cerebral arteries that resolve spontaneously in 1-3 months. Various complications have been reported with different time courses. Among them, posterior reversible encephalopathy syndrome (PRES) is a one of the early complications that occurs rarely within the first week, and evidence of PRES is associated with an adverse outcome from RCVS. We herein report a 29-year-old female patient in the puerperium period presented with repeated seizure attack, whose brain magnetic resonance imaging showed recurrent reversible edema, suggesting overlap between RCVS and PRES.
Key Words: Posterior reversible encephalopathy syndrome, Reversible posterior vasoconstriction syndrome, Puerperium period.
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