A Case of Postpartum Cerebral Angiopathy

J Korean Neurol Assoc > Volume 18(3); 2000 > Article

Journal of the Korean Neurological Association 2000;18(3): 353-355.

산후뇌혈관병증 1예

김서현 이경열 선우일남 김현숙*정진일*김동익*, 김서현 이경열 선우일남 김현숙*정진일*김동익*

연세대학교 의과대학 신경과학교실,진단방사선과학교실*

A Case of Postpartum Cerebral Angiopathy

Seo Hyun Kim, M.D., Kyung Yul Lee, M.D., Il Nam Sunwoo, M.D., Hyun Sook Kim, M.D.*, Jin Il Jung, M.D.*, Dong Ik Kim, M.D.*

Department of Neurology, Neuroradiology*, Yonsei University College of Medicine

Abstract

Postpartum cerebral angiopathy is a benign, reversible clinicoradiologic syndrome. The clinical significance of this syndrome is the difficulty in differentiating it from other severe disorders such as subarachnoid hemorrhage and cere-bral vasculitis. A 25-year-old woman who developed a severe headache, transient total blindness ,and generalized tonic clonic seizures 14 days postpartum was admitted to our hospital. A MRI of the brain revealed a bilateral anterior cere-bral artery (ACA) infarction. A cerebral angiography showed the narrowing of the M1 and M2 segments of the left middle cerebral artery (MCA), the right MCA M1 segment, and the A1 and proximal A2 segments of the right ACA. Also, it showed the narrowing of the proximal basilar artery portion from which the anterior inferior cerebellar artey arose, P1, P2, and P3 segments of the left posterior cerebral artery (PCA), and the right PCA P1 segment. With the treatment of nimodipine, the abnormalities on these studies were markedly improved two weeks later. J Korean Neurol Assoc 18(3):353~355, 2000 Key Words : Cerebrovascular disorders, Pregnancy complications, Cerebral angiography