Postpartum cerebral vasospasm treated with hypervolemic therapy

被引：20

作者：

Akins, PT

Levy, KJ

Cross, AH

Goldberg, MP

Schieber, MH

机构：

[1] Department of Neurology, Washington Univ. School of Medicine, Box 8111, St. Louis, MO 63110

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 1996年 / 175卷 / 05期

关键词：

cerebral vasospasm; angiography (magnetic resonance); eclampsia; puerperium;

D O I：

10.1016/S0002-9378(96)70064-9

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

In a 23-year-old woman, gravida 1, para 1-0-0-1, headaches and seizures developed 1 week after an uncomplicated delivery. Cerebral angiography revealed severe, diffuse cerebral vasospasm. Her symptoms resolved with hyperosmolar, hypervolemic therapy and nimodipine. Magnetic resonance angiography on postpartum day 23 confirmed persistent, severe vasospasm, and repeat magnetic resonance angiography on postpartum day 33 demonstrated interval improvement. This report documents the time course of a case of postpartum vasospasm and its response to hypervolemic, hyperosmolar therapy and nimodipine.

引用

页码：1386 / 1388

页数：3