Cesarean section under general anesthesia for antepartum reversible cerebral vasoconstriction syndrome: A case report.
antepartum
headache
pregnancy
reversible cerebral vasoconstriction
transcranial Doppler
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
03
06
2019
accepted:
14
08
2019
pubmed:
30
8
2019
medline:
3
6
2020
entrez:
30
8
2019
Statut:
ppublish
Résumé
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by acute and usually severe headache related to multifocal vasoconstriction of cerebral arteries, reversible within 3 months. About 10% of RCVS are pregnancy-related, but only three cases of antepartum RCVS have been described. We report the case of a 26-year-old pregnant woman who presented at 36 weeks gestation with antepartum RCVS. Delivery was managed by cesarean section under general anesthesia. Though she developed focal neurologic deficits on the first postoperative day, these resolved at hospital discharge. This case highlights pre- and post-partum multidisciplinary management including cesarean section under general anesthesia.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2461-2465Informations de copyright
© 2019 Japan Society of Obstetrics and Gynecology.
Références
Miller EC, Yaghi S, Boehme AK, Willey JZ, Elkind MS, Marshall RS. Mechanisms and outcomes of stroke during pregnancy and the postpartum period: A cross-sectional study. Neurol Clin Pract 2016; 6: 29-39.
Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D. Reversible cerebral vasoconstriction syndrome, Part 1: Epidemiology, pathogenesis, and clinical course. AJNR Am J Neuroradiol 2015; 36: 1392-1399.
Anzola GP, Brighenti R, Cobelli M et al. Reversible cerebral vasoconstriction syndrome in puerperium: A prospective study. J Neurol Sci 2017; 375: 130-136.
Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D. Reversible cerebral vasoconstriction syndrome, Part 2: Diagnostic work-up, imaging evaluation, and differential diagnosis. AJNR Am J Neuroradiol 2015; 36: 1580-1588.
Ducros A. Reversible cerebral vasoconstriction syndrome. Lancet Neurol 2012; 11: 906-917.
Cappelen-Smith C, Calic Z, Cordato D. Reversible cerebral vasoconstriction syndrome: Recognition and treatment. Curr Treat Options Neurol 2017; 19: 21.
Fugate JE. Fulminant postpartum cerebral vasoconstriction syndrome. Arch Neurol 2012; 69: 111-117.
Ducros A, Boukobza M, Porcher R, Sarov M, Valade D, Bousser M-G. The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome. A prospective series of 67 patients. Brain 2007; 130: 3091-3101.
van Veen TR, Panerai RB, Haeri S et al. Cerebral autoregulation in different hypertensive disorders of pregnancy. Am J Obstet Gynecol 2015; 212: 513.e1-513.e7.
Tanaka K, Matsushima M, Matsuzawa Y et al. Antepartum reversible cerebral vasoconstriction syndrome with pre-eclampsia and reversible posterior leukoencephalopathy: Antepartum RCVS with pre-eclampsia. J Obstet Gynaecol Res 2015; 41: 1843-1847.
Kasuya C, Suzuki M, Koda Y et al. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section. Oxf Med Case Reports 2018; 2018: omy101.
Hoshijima H, Itoh N, Iwase Y, Nagasaka H. Anesthetic management of reversible cerebral vasoconstriction syndrome: A case report. J Oral Maxillofac Surg 2017; 75: 2092.e1-2092.e5.
Feske SK, Singhal AB. Cerebrovascular disorders complicating pregnancy. Continuum 2014; 20: 80-99.
Ngan Kee WD, Lee SWY, Ng FF, Tan PE, Khaw KS. Randomized double-blinded comparison of norepinephrine and phenylephrine for maintenance of blood pressure during spinal anesthesia for cesarean delivery. Anesthesiology 2015; 122: 736-745.
Udesh R, Natarajan P, Thiagarajan K et al. Transcranial Doppler monitoring in carotid endarterectomy: A systematic review and meta-analysis: Transcranial Doppler monitoring in carotid endarterectomy. J Ultrasound Med 2017; 36: 621-630.
Cipolla MJ. Cerebrovascular function in pregnancy and eclampsia. Hypertension 2007; 50: 14-24.
Mijalski C, Dakay K, Miller-Patterson C, Saad A, Silver B, Khan M. Magnesium for treatment of reversible cerebral vasoconstriction syndrome: Case series. Neurohospitalist 2016; 6: 111-113.