Farissier F, Reynaud A, Varvat J, Coudrot M, Garnier P, Tardy B
Service d'urgence et de réanimation médicale, CHU Nord, 42055 Saint-Étienne cedex 2, France.
Ann Fr Anesth Reanim. 2011 Jan;30(1):61-3. doi: 10.1016/j.annfar.2010.05.037. Epub 2010 Dec 24.
We present the case of a 34-year-old woman who developed, in postpartum period of an uncomplicated pregnancy, a thunderclap headache with visual disturbance associated with a severe arterial hypertension. Both clinical evolution and cerebral imaging including angio-MR confirmed the diagnosis of postpartum reversible vasoconstriction syndrome. One of the leading causes of this syndrome is the use of vasoactive drugs as it was observed in the case of this patient. It is important to consider this syndrome in the differential diagnosis in patients presenting with headache in the postpartum period.
我们报告了一例34岁女性的病例，该女性在一次无并发症妊娠的产后出现霹雳样头痛并伴有视觉障碍，同时伴有严重的动脉高血压。临床病程及包括血管磁共振成像在内的脑部影像学检查均证实了产后可逆性脑血管收缩综合征的诊断。正如该患者病例所示，这种综合征的主要病因之一是使用血管活性药物。对于产后出现头痛的患者，在鉴别诊断中考虑这种综合征很重要。
