Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series

Postpartum Reversible Cerebral Vasoconstriction Syndrome (RCVS), previously known as postpartum angiopathy, presents within four weeks of delivery. Recurrent episodes of severe headache, seizures, focal neurologic deficits and photophobia are the common presentations of RCVS. Hereby the authors repo...

Full description

Saved in:
Bibliographic Details
Main Authors: Dillibabu Raghavan, P Prathiba Rajalakshmi, G Navaneetha Kumar, K Srinivasan, G Murugan
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2025-01-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:https://www.ijars.net/articles/PDF/3032/75222_CE[Ra1]_F(SHU)_QC(SD_SHU)_PF1(JY_SHU)_redo_PFA(SHU)_PB(JY_SHU)_PN(SHU).pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850209882358153216
author Dillibabu Raghavan
P Prathiba Rajalakshmi
G Navaneetha Kumar
K Srinivasan
G Murugan
author_facet Dillibabu Raghavan
P Prathiba Rajalakshmi
G Navaneetha Kumar
K Srinivasan
G Murugan
author_sort Dillibabu Raghavan
collection DOAJ
description Postpartum Reversible Cerebral Vasoconstriction Syndrome (RCVS), previously known as postpartum angiopathy, presents within four weeks of delivery. Recurrent episodes of severe headache, seizures, focal neurologic deficits and photophobia are the common presentations of RCVS. Hereby the authors report a series of patients (30-year-old, 26-year-old and 29-year-old females) who presented with neurologic symptoms ranging from severe headache to altered sensorium and seizures. Imaging revealed a multitude of findings, from normal-appearing parenchyma to lobar and subarachnoid haemorrhage. Computed Tomography (CT) and Magnetic Resonance Angiographic (MRA) studies showed multiple areas of vasoconstriction and beaded appearance of the cerebral arteries in all three patients, which completely resolved within 12 weeks of the onset of symptoms, suggesting RCVS. Imaging in the acute setting plays a pivotal role in identifying the vasoconstriction and ruling out other neurological emergencies in the postpartum period.
format Article
id doaj-art-660e20823a774bc4a802aef320dc6ceb
institution OA Journals
issn 2277-8543
2455-6874
language English
publishDate 2025-01-01
publisher JCDR Research and Publications Pvt. Ltd.
record_format Article
series International Journal of Anatomy Radiology and Surgery
spelling doaj-art-660e20823a774bc4a802aef320dc6ceb2025-08-20T02:09:55ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742025-01-01141010310.7860/IJARS/2025/75222.3032Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case SeriesDillibabu Raghavan0P Prathiba Rajalakshmi1G Navaneetha Kumar2K Srinivasan3G Murugan4Senior Consultant, Department of Radiology, SRM Scans and Labs, New Delhi, India.Assistant Professor, Department of Radiodiagnosis, Sree Balaji Medical College, Chennai, Tamil Nadu, India.Senior Resident, Department of Radiology, Omandurar Medical College, Chennai, Tamil Nadu, India.Senior Consultant, Department of Radiology, Dr. Rela Institute and Medical Centre, Chennai, Tamil Nadu, India.Professor and Head, Department of Radiodiagnosis, Sree Balaji Medical College, Chennai, Tamil Nadu, India.Postpartum Reversible Cerebral Vasoconstriction Syndrome (RCVS), previously known as postpartum angiopathy, presents within four weeks of delivery. Recurrent episodes of severe headache, seizures, focal neurologic deficits and photophobia are the common presentations of RCVS. Hereby the authors report a series of patients (30-year-old, 26-year-old and 29-year-old females) who presented with neurologic symptoms ranging from severe headache to altered sensorium and seizures. Imaging revealed a multitude of findings, from normal-appearing parenchyma to lobar and subarachnoid haemorrhage. Computed Tomography (CT) and Magnetic Resonance Angiographic (MRA) studies showed multiple areas of vasoconstriction and beaded appearance of the cerebral arteries in all three patients, which completely resolved within 12 weeks of the onset of symptoms, suggesting RCVS. Imaging in the acute setting plays a pivotal role in identifying the vasoconstriction and ruling out other neurological emergencies in the postpartum period.https://www.ijars.net/articles/PDF/3032/75222_CE[Ra1]_F(SHU)_QC(SD_SHU)_PF1(JY_SHU)_redo_PFA(SHU)_PB(JY_SHU)_PN(SHU).pdfangiopathyarterial beadingpuerperium
spellingShingle Dillibabu Raghavan
P Prathiba Rajalakshmi
G Navaneetha Kumar
K Srinivasan
G Murugan
Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series
International Journal of Anatomy Radiology and Surgery
angiopathy
arterial beading
puerperium
title Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series
title_full Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series
title_fullStr Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series
title_full_unstemmed Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series
title_short Imaging of Postpartum Reversible Cerebral Vasoconstriction Syndrome- A Case Series
title_sort imaging of postpartum reversible cerebral vasoconstriction syndrome a case series
topic angiopathy
arterial beading
puerperium
url https://www.ijars.net/articles/PDF/3032/75222_CE[Ra1]_F(SHU)_QC(SD_SHU)_PF1(JY_SHU)_redo_PFA(SHU)_PB(JY_SHU)_PN(SHU).pdf
work_keys_str_mv AT dillibaburaghavan imagingofpostpartumreversiblecerebralvasoconstrictionsyndromeacaseseries
AT pprathibarajalakshmi imagingofpostpartumreversiblecerebralvasoconstrictionsyndromeacaseseries
AT gnavaneethakumar imagingofpostpartumreversiblecerebralvasoconstrictionsyndromeacaseseries
AT ksrinivasan imagingofpostpartumreversiblecerebralvasoconstrictionsyndromeacaseseries
AT gmurugan imagingofpostpartumreversiblecerebralvasoconstrictionsyndromeacaseseries