Top

Published in:

01-12-2004 | Interventional Neuroradiology

Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty

Authors: J. K. Song, S. Fisher, T. D. Seifert, E. D. Cacayorin, A. V. Alexandrov, M. D. Malkoff, J. C. Grotta, M. S. Campbell

Published in: Neuroradiology | Issue 12/2004

Abstract

Postpartum cerebral angiopathy (PCA) is an uncommon cause of ischemic and hemorrhagic stroke in young women. It is usually clinically benign and not relapsing. We describe a patient with nonhemorrhagic PCA who had an atypical progressive neurological deficit from bilateral hemisphere watershed ischemia despite treatment with aggressive medical therapy and intracranial balloon angioplasty.

Wiebers DO (1985) Ischemic cerebrovascular complications of pregnancy. Arch Neurol 11: 1106–1113

Kittner SJ, Stern BJ, Feeser BR, et al (1996) Pregnancy and the risk of stroke. N Engl J Med 11: 768–774CrossRef

Ursell MR, Marras CL, Farb R, Rowed DW, Black SE, Perry JR (1998) Recurrent intracranial hemorrhage due to postpartum cerebral angiopathy: implications for management. Stroke 9: 1995–1998

Rousseaux P, Scherpereel B, Bernard MH, Guyot JF (1983) [Acute benign cerebral angiopathy. Six cases]. Presse Méd 35: 2163–2168

Langlois PF, Sharon GE, Gawryl MS (1989) Plasma concentrations of complement-activation complexes correlate with disease activity in patients diagnosed with isolated central nervous system vasculitis. J Allergy Clin Immunol 1: 11–16

Geraghty JJ, Hoch DB, Robert ME, Vinters HV (1991) Fatal puerperal cerebral vasospasm and stroke in a young woman. Neurology 7: 1145–1147

Calabrese LH, Mallek JA (1988) Primary angiitis of the central nervous system. Report of 8 new cases, review of the literature, and proposal for diagnostic criteria. Medicine (Baltimore) 1: 20–39

Barinagarrementeria F, Cantu C, Balderrama J (1992) Postpartum cerebral angiopathy with cerebral infarction due to ergonovine use. Stroke 9: 1364–1366

Bogousslavsky J, Despland PA, Regli F, Dubuis PY (1989) Postpartum cerebral angiopathy: reversible vasoconstriction assessed by transcranial Doppler ultrasounds. Eur Neurol 2: 102–105

10.

Raps EC, Galetta SL, Broderick M, Atlas SW (1993) Delayed peripartum vasculopathy: cerebral eclampsia revisited. Ann Neurol 2: 222–225

11.

Garner BF, Burns P, Bunning RD, Laureno R (1990) Acute blood pressure elevation can mimic arteriographic appearance of cerebral vasculitis—(a postpartum case with relative hypertension). J Rheumatol 1: 93–97

12.

Farine D, Andreyko J, Lysikiewicz A, Simha S, Addison A (1984) Isolated angiitis of brain in pregnancy and puerperium. Obstet Gynecol 4: 586–588

13.

Sharshar T, Lamy C, Mas JL (1965) Incidence and causes of strokes associated with pregnancy and puerperium. A study in public hospitals of Ile de France. Stroke in Pregnancy Study Group. Stroke 6: 930–936

14.

Eskridge JM, Song JK (1997) A practical approach to the treatment of vasospasm. AJNR 9: 1653–1660

15.

Caseby NG (1983) Postpartum stroke successfully treated with high-dose pentobarbitone therapy: a case report. Can Anaesth Soc J 1: 77–83

16.

Digre KB, Varner MW, Osborn AG, Crawford S (1993) Cranial magnetic resonance imaging in severe preeclampsia vs eclampsia. Arch Neurol 4: 399–406

17.

McKenzie JD, Wallace RC, Dean BL, Flom RA, Khayata MH (1996) Preliminary results of intracranial angioplasty for vascular stenosis caused by atherosclerosis and vasculitis. AJNR 2: 263–268

18.

Eskridge JM, McAuliffe W, Song JK, et al (1998) Balloon angioplasty for the treatment of vasospasm: results of first 50 cases. Neurosurgery 3: 510–517CrossRef

Title: Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty
Authors: J. K. Song
S. Fisher
T. D. Seifert
E. D. Cacayorin
A. V. Alexandrov
M. D. Malkoff
J. C. Grotta
M. S. Campbell
Publication date: 01-12-2004
Publisher: Springer-Verlag
Published in: Neuroradiology / Issue 12/2004
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-003-1129-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 12/2004

Atypical manifestations of reversible posterior leukoencephalopathy syndrome: findings on diffusion imaging and ADC mapping

Transvenous injection of Onyx for casting of the cavernous sinus for the treatment of a carotid-cavernous fistula

Pituitary duplication associated with oral dermoid and corpus callosum hypogenesis

Recent Literature

ESNR - December 2004

Value of petrosal sinus sampling: coexisting acromegaly, empty sella and meningioma