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Related Experiment Videos

Eclamptic subarachnoid haemorrhage without hypertension.

Michael Moussouttas1, Abuhuziefa Abubakr, Raji Pail Grewal

  • 1NJ Neuroscience Institute, JFK Medical Center, Edison, New Jersey 08818, USA. arista1@pol.net

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|May 9, 2006
PubMed
Summary

Subarachnoid hemorrhage in pregnancy, often from aneurysms or hypertension, can occur even with normal blood pressure. This case highlights postpartum angiopathy as a cause, with successful nimodipine treatment for vasospasm prevention.

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Area of Science:

  • Neurology
  • Obstetrics
  • Vascular Medicine

Background:

  • Subarachnoid hemorrhage (SAH) during pregnancy typically stems from ruptured aneurysms or severe hypertension.
  • Postpartum eclampsia is a known risk factor for cerebrovascular events.

Observation:

  • A young woman presented with sudden headache and minor subarachnoid hemorrhages despite 'normal' postpartum blood pressure.
  • Initial angiograms excluded aneurysm or arteriovenous malformation as the cause of SAH.

Findings:

  • Serial imaging revealed diffuse cerebral vessel narrowing, indicative of postpartum angiopathy.
  • The patient received nimodipine solely for vasospasm prophylaxis.

Implications:

  • Postpartum angiopathy is a critical differential diagnosis for SAH in pregnant or postpartum women, even without significant hypertension.

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  • Conservative management with vasospasm prevention can lead to excellent neurological recovery.