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Journal of Medical Case Reports

, 10:351

First Online: 15 December 2016Received: 29 March 2016Accepted: 23 November 2016DOI: 10.1186-s13256-016-1155-5

Cite this article as: Baharith, H. & Zarrin, A. J Med Case Reports 2016 10: 351. doi:10.1186-s13256-016-1155-5

Abstract

BackgroundPostpartum reversible cerebral vasoconstriction syndrome is one of the rare reversible cerebral vasoconstriction syndromes. The clinical presentation is usually characterized by recurrent headache, focal neurological deficit, and reversible cerebral vasoconstriction seen on cerebral angiography.

Case presentationWe report a case of a 35-year-old Yemeni woman who presented with headache and focal neurological deficits that occurred 10 days after delivery, with segmental narrowing of cerebral arteries on angiography. She had significant clinical and radiological improvement on follow-up.

ConclusionsThe presentation of our patient’s reversible cerebral vasoconstriction syndrome is unusual as she has two possible precipitating factors. In addition to being in the postpartum state, she also has a long history of chewing khat, a vasoactive substance commonly used by immigrants from Yemen. We hope that this case report will increase awareness among physicians about the use of this plant by immigrants from the horn of Africa and Yemen.

KeywordsReversible cerebral vasoconstriction syndrome Khat Postpartum cerebral angiopathy Call–Fleming syndrome  Download fulltext PDF



Autor: Harith Baharith - Amy Zarrin

Fuente: https://link.springer.com/



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