Reversible cerebral vasoconstriction syndrome: a severe neurological complication in early puerperium.

Authors

Mauricio A Benetti, Francisco Caiza-Zambrano, Fabio Gonzalez, Luis A Miquelini, Silvia Garbugino, Pablo Bonardo

Published in

Medicina. Volume 86. Issue 5. Pages 1320-1324.

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is an uncommon entity characterized by transient, segmental vasoconstriction of the cerebral arteries, which may be associated with sudden-onset headache and acute neurological complications. The puerperium represents a recognized risk period for its development. We describe the case of a 29-year-old woman who, in the early puerperium, presented with sudden-onset orthostatic headache, followed by severe acute headache and impaired level of consciousness. Brain computed tomography revealed bilateral intraparenchymal hemorrhages. Angiographic studies demonstrated diffuse cerebral arterial vasospasm, with subsequent normalization of the cerebral vasculature on follow-up. The clinical and radiological manifestations observed in this case are uncommon. This report highlights the importance of considering RCVS in the differential diagnosis of acute neurological complications in the puerperium and of its timely recognition to ensure appropriate management.

PMID:
42886973
Bibliographic data and abstract were imported from PubMed on 17 Oct 2026.

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