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 |
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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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