Show Summary Details
Page of

Postpartum Thunderclap Headache 

Postpartum Thunderclap Headache
Chapter:
Postpartum Thunderclap Headache
Author(s):

M. Angela O’Neal

DOI:
10.1093/med/9780190609917.003.0018
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2015. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy).

date: 22 September 2017

An illustrative case of reversible cerebral vasoconstriction syndrome (RCVS) is presented. The clinical and radiographic features are reviewed. There is an overlap between RCVS and posterior reversible encephalopathy syndrome due to their shared pathophysiology related to endothelial injury. Furthermore, preeclampsia/eclampsia (PEE) is often associated with RCVS. Thunderclap headache is the most characteristic feature of the disorder. RCVS may also cause subarachnoid hemorrhage, typically located over the cerebral convexities; intracranial hemorrhage; and ischemic stroke. The diagnosis is made by seeing vasoconstriction on vessel imaging, either magnetic resonance angiography or computerized tomography angiography. There are several medications that can precipitate the condition by increasing sympathetic activity. Treatment is similar to that of PEE, with antihypertensives and magnesium. Calcium channel blockers are helpful symptomatic therapy for the headache.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.