Eclamptic subarachnoid haemorrhage without hypertension

Subarachnoid haemorrhage in pregnancy is often the result of aneurysmal rupture or severe hypertension. A young woman with postpartum eclampsia and ‘normal’ blood pressure developed sudden-onset head pain, and was found to have minor biconvexity subarachnoid hemorrhages. Serial angiograms of the cer...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2006-05, Vol.13 (4), p.474-476
Main Authors: Moussouttas, Michael, Abubakr, Abuhuziefa, Grewal, Raji Pail, Papamitsakis, Nikolaos
Format: Article
Language:English
Subjects:
Adult
Cerebral Angiography - methods
Eclampsia - pathology
Eclampsia - physiopathology
Female
Humans
Hypertension
Pregnancy
Pregnancy Complications, Cardiovascular - physiopathology
Subarachnoid Hemorrhage - pathology
Subarachnoid Hemorrhage - physiopathology
Tomography, X-Ray Computed - methods
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Summary:Subarachnoid haemorrhage in pregnancy is often the result of aneurysmal rupture or severe hypertension. A young woman with postpartum eclampsia and ‘normal’ blood pressure developed sudden-onset head pain, and was found to have minor biconvexity subarachnoid hemorrhages. Serial angiograms of the cervicocranial vessels revealed no evidence of aneurysm or arteriovenous malformation. A follow-up angiogram revealed diffuse vessel narrowing, consistent with postpartum angiopathy. Treatment consisted only of nimodipine for the prevention of vasospasm. The patient made an excellent recovery, without residual neurological deficits.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2005.05.017