Medicina Fluminensis, Vol. 62 No. 1, 2026.
Studija slučaja
https://doi.org/10.21860/medflum2026_343572
Convexity Subarachnoid Haemorrhage During Childbirth Related to Reversible Cerebral Vasoconstriction Syndrome - A Case Report
Petra Maras
; General Hospital Pula, Department of Gynaecology and Obstetrics, Pula, Croatia
Frederic-Ivan Silconi
; General Hospital Pula, Department of Neurology, Pula, Croatia
Dragan Belci
; General Hospital Pula, Department of Gynaecology and Obstetrics, Pula, Croatia
Ivan Jovanović
; University Hospital Centre Zagreb, Department of Radiology, Zagreb, Croatia
Marina Bralić
orcid.org/0000-0003-4206-2405
; University Hospital Centre Rijeka, Department of Neurology, Rijeka, Croatia
*
* Dopisni autor.
Sažetak
Aim: Pregnancy-related subarachnoid haemorrhage (pSAH), while uncommon, carries a higher risk of morbidity and mortality. The aim of the case presentation is to emphasize the importance of promptly identifying neurological complications during pregnancy and the postpartum period.
Case report: A 39 weeks pregnant secundipara gave birth to a healthy baby. Just before childbirth she started signalling a right sided thunderclap headache followed by a blurred vision. Brain non-contrast computed tomography (NCCT) showed a convexity subarachnoid haemorrhage (cSAH). CT angiography (CTA) and MR angiography (MRA) of the brain revealed a multifocal vasospasm involving few of the arteries of Circle of Willis and a case of reversible cerebral vasoconstriction syndrome (RCVS) was suspected. The patient was treated with nimodipine, and a follow up three months after the event showed the complete resolution of the cSAH as of the vasospasm.
Conclusion: Early suspicion, appropriate diagnosis, and a multidisciplinary approach to pregnancy-related neurological complications is crucial for achieving a successful outcome.
Ključne riječi
complications; neurology; pregnancy; puerperium; subarachnoid hemorrhage
Hrčak ID:
343572
URI
Datum izdavanja:
1.3.2026.
Posjeta: 280 *