Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Tiago
Data de Publicação: 2014
Outros Autores: Loureiro, Rui, Samões, Raquel, Alves, Viriato, Ramos, Cristina, Correia, Carlos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923
Resumo: Reversible cerebral vasoconstriction syndrome is a rare cerebrovascular disorder characterized by cerebral arterial segmental vasoconstriction, usually spontaneously reversible. This disease can occur in the postpartum period, manifesting itself through acute neurologic symptoms, and the imaging studies play a fundamental role in its diagnosis. Although classically considered a benign and self-limiting disease, it may present less favorable courses with significant associated morbidity and mortality. We describe a case of reversible cerebral vasoconstriction syndrome in the puerperium, with progressive cerebral vasospasm causing ischemic and hemorrhagic strokes. We intend to make an alert to the potential complications of this entity that demand a close clinical and imagiological monitoring.Keywords: Stroke; Cerebral Arteries; Puerperal Disorders; Vasoconstriction; Vasospasm, Intracranial.
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spelling Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the PuerperiumSíndrome de Vasoconstrição Cerebral Reversível: uma Causa Importante de Acidentes Vasculares Cerebrais no PuerpérioReversible cerebral vasoconstriction syndrome is a rare cerebrovascular disorder characterized by cerebral arterial segmental vasoconstriction, usually spontaneously reversible. This disease can occur in the postpartum period, manifesting itself through acute neurologic symptoms, and the imaging studies play a fundamental role in its diagnosis. Although classically considered a benign and self-limiting disease, it may present less favorable courses with significant associated morbidity and mortality. We describe a case of reversible cerebral vasoconstriction syndrome in the puerperium, with progressive cerebral vasospasm causing ischemic and hemorrhagic strokes. We intend to make an alert to the potential complications of this entity that demand a close clinical and imagiological monitoring.Keywords: Stroke; Cerebral Arteries; Puerperal Disorders; Vasoconstriction; Vasospasm, Intracranial.A síndrome de vasoconstrição cerebral reversível é uma doença cerebrovascular rara caracterizada por vasoconstrição segmentar das artérias cerebrais, mais frequentemente espontaneamente reversível. Pode ocorrer no período pós-parto, manifestando-se através de sintomas neurológicos agudos, sendo que os exames de imagem desempenham um papel fundamental para o seu diagnóstico. Embora classicamente considerada uma doença autolimitada e benigna, pode apresentar cursos menos favoráveis com importante morbilidade e mortalidade associada. Descrevemos um caso de síndrome de vasoconstrição cerebral reversível no puerpério, com vasospasmo cerebral progressivo causando lesões vasculares cerebrais isquémicas e hemorrágicas. Pretendemos deste modo chamar a atenção para as potenciais complicações desta entidade que implicam uma vigilância clínica e imagiológica intensa.Palavras-chave: Acidente Vascular Cerebral; Artérias Cerebrais; Puerpério; Vasoconstrição; Vasospasmo Intracraniano.Ordem dos Médicos2014-08-25info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/octet-streamapplication/octet-streamapplication/octet-streamapplication/octet-streamapplication/octet-streamhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923oai:ojs.www.actamedicaportuguesa.com:article/4923Acta Médica Portuguesa; Vol. 27 No. 4 (2014): July-August; 515-518Acta Médica Portuguesa; Vol. 27 N.º 4 (2014): Julho-Agosto; 515-5181646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923/4015https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923/7015https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923/7016https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923/7017https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923/7018https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4923/7019Rodrigues, TiagoLoureiro, RuiSamões, RaquelAlves, ViriatoRamos, CristinaCorreia, Carlosinfo:eu-repo/semantics/openAccess2022-12-20T11:04:05Zoai:ojs.www.actamedicaportuguesa.com:article/4923Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:00.192776Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
Síndrome de Vasoconstrição Cerebral Reversível: uma Causa Importante de Acidentes Vasculares Cerebrais no Puerpério
title Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
spellingShingle Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
Rodrigues, Tiago
title_short Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
title_full Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
title_fullStr Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
title_full_unstemmed Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
title_sort Reversible Cerebral Vasoconstriction Syndrome: an Important Cause of Stroke in the Puerperium
author Rodrigues, Tiago
author_facet Rodrigues, Tiago
Loureiro, Rui
Samões, Raquel
Alves, Viriato
Ramos, Cristina
Correia, Carlos
author_role author
author2 Loureiro, Rui
Samões, Raquel
Alves, Viriato
Ramos, Cristina
Correia, Carlos
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Rodrigues, Tiago
Loureiro, Rui
Samões, Raquel
Alves, Viriato
Ramos, Cristina
Correia, Carlos
description Reversible cerebral vasoconstriction syndrome is a rare cerebrovascular disorder characterized by cerebral arterial segmental vasoconstriction, usually spontaneously reversible. This disease can occur in the postpartum period, manifesting itself through acute neurologic symptoms, and the imaging studies play a fundamental role in its diagnosis. Although classically considered a benign and self-limiting disease, it may present less favorable courses with significant associated morbidity and mortality. We describe a case of reversible cerebral vasoconstriction syndrome in the puerperium, with progressive cerebral vasospasm causing ischemic and hemorrhagic strokes. We intend to make an alert to the potential complications of this entity that demand a close clinical and imagiological monitoring.Keywords: Stroke; Cerebral Arteries; Puerperal Disorders; Vasoconstriction; Vasospasm, Intracranial.
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 27 No. 4 (2014): July-August; 515-518
Acta Médica Portuguesa; Vol. 27 N.º 4 (2014): Julho-Agosto; 515-518
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