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Vanishing cerebrovascular disease of pregnancy
1Department of Neurology, West Virginia University School of Medicine, Morgantown 26506.
A woman developed TIAs in the last days of her pregnancy. Angiography revealed partial obstruction of the left middle cerebral artery. Following delivery and anticoagulation her symptoms abated. Angiography 11 weeks later revealed resolution of the obstruction. We propose that this intrinsic vascular lesion was secondary to reversible intimal hyperplasia brought on by reproductive steroids.
A woman developed TIAs in the last days of her pregnancy. Angiography revealed partial obstruction of the left middle cerebral artery. Following delivery and anticoagulation her symptoms abated. Angiography 11 weeks later revealed resolution of the obstruction. We propose that this intrinsic vascular lesion was secondary to reversible intimal hyperplasia brought on by reproductive steroids.