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A case of postpartum cerebral angiitis and review of the literature.
MedLine Citation:
PMID:  20419307     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To better characterize postpartum cerebral angiitis (PPCA).
METHODS: We present a case of PPCA in which a 34-year-old G6P5104 underwent a normal vaginal delivery and developed PPCA. She had no signs or symptoms of gestational hypertension or preeclampsia. She had a history of migraines and received methylergonovine at delivery. She represented postpartum with headache and hypertension. The patient had characteristic findings of cerebral angiitis on imaging, and was diagnosed with PPCA. She was treated with nimodipine and steroids. She was monitored with transcranial Dopplers.
RESULTS: In reviewing the literature, we found 23 cases of PPCA. We found that none had proteinuria, most were hypertensive, and all presented with headache.
CONCLUSIONS: Use of sympathomimetic agents, particularly among those with migraines, may increase risk of PPCA.
Authors:
Arvind Bakhru; Robert O Atlas
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Publication Detail:
Type:  Journal Article     Date:  2010-04-24
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  283     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  663-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Mercy Medical Center, Baltimore, MD, USA, arvindba@med.umich.edu.
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