Reversible cerebral vasoconstriction syndrome a rare cause of post-partum headache: an anesthetic overview

Kumar, Sharad; Chandra, Kumar Naren; Ayub, Arshad

doi:10.1016/j.bjane.2018.12.003

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…In the literature, there are still reports of recurrence of RCVS [ 17 , 30 , 32 , 62 , 83 ], with associated factors like the history of migraine [ 25 ] and physical exercise as a triggering factor for thunderclap headache in the first episode of RCVS [ 32 ]. Therefore, for a good prognosis and a lower chance of recurrence, avoiding the use of vasoactive substances that interfere with the clinical management of RCVS, such as adrenergic and serotonergic drugs, may be effective [ 84 ].…”

Section: Discussionmentioning

confidence: 99%

Reversible cerebral vasoconstriction syndrome: literature review

Ribas

Paticcié

Medeiros³

et al. 2023

Egypt J Neurol Psychiatry Neurosurg

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Reversible Cerebral Vasoconstriction Syndrome (RCVS) is a neurovascular condition characterized by a severe sudden-onset headache that may be associated with focal neurological deficits. On imaging, the suggestive finding corresponds to multifocal vasoconstriction of the cerebral arteries, with a spontaneous resolution of approximately 12 weeks. The identification of precipitating factors and diagnosis must be carried out early, so that adequate management is established and the patient has a good prognosis, given the risk of secondary complications and residual neurological deficits. This study consists of a literature review based on the analysis of articles published between 2017 and 2022 in PubMed, SciELO, and ScienceDirect on RCVS, intending to understand the clinical and radiological characteristics, diagnosis, treatment, and prognosis of patients with RCVS. The pathophysiology, drug management, and prognosis still lack solid evidence; therefore, further studies on RCVS are needed to expand medical knowledge and avoid underdiagnosis and inadequate treatment of this important condition.

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Section: Discussionmentioning

confidence: 99%

Reversible cerebral vasoconstriction syndrome: literature review

Ribas

Paticcié

Medeiros³

et al. 2023

Egypt J Neurol Psychiatry Neurosurg

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show abstract

“…It is noteworthy that if these young, usually previously healthy, women have a poor outcome, the clinical, social, and medico-legal impact is often significant [ 15 ]. However, as the features of many types of postpartum headaches may overlap among themselves and with those of migraine [ 19 ], the differential diagnosis between primary and secondary headache disorders may be challenging, particularly for the most severe patients referred for urgent neurological consultation, and when atypical symptoms are present [ 16 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Don’t Forget Rare Causes of Postpartum Headache! Cases Report and Literature Review

et al. 2021

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Headache is a common finding in the postpartum period, caused by a spectrum of different conditions. Most headaches in the postpartum period are self-limiting and benign in etiology, but there are some potentially serious causes to be considered. We disclose two cases of postpartum headache, initially considered as post-dural puncture headache (PDPH), that evolved into a harmful condition and showed that an expanded differential diagnosis for headache in the postpartum is mandatory, requiring a high level of attention from health professionals. In fact, a careful examination of the medical history, physical examination, and the recognition for the need for early neuroradiological imaging should incre[se diagnostic accuracy.

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“…Diese gilt jedoch erst dann als gesichert, wenn die Reversibilität der Vasokonstriktion innerhalb von 3 Monaten angiographisch nachgewiesen werden kann [2,4,7]. Weitere Fallberichte schildern ebenfalls eindrucksvoll das klinische Bild mit stärksten Kopfschmerzen, Krampfanfällen und intrakranieller Blutung auf dem Boden einer (vorübergehenden) Deregulation des zerebralen Gefäßtonus im peripartalen Setting [8].…”

Section: Diskussionunclassified