Liu Lin, Tan Qi, Huang Ruxun, Hu Zongji
Neurology Department, Tungwah Hospital of Sun Yat-sen University, Dongguan.
Neurology Department, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Medicine (Baltimore). 2019 Nov;98(45):e17170. doi: 10.1097/MD.0000000000017170.
Reversible cerebral vasoconstriction syndrome (RCVS) is a rare clinical syndrome accompanying with severe headache as its main symptom. Postpartum reversible cerebral vasoconstriction syndrome (PPRCVS) refers to RCVS occurring in the puerperium, in which it has a low incidence, and that is easily missed diagnosed and misdiagnosed in clinical practice.By searching in CNKI and Wanfang databases, 9 published articles reported PPRCVS were found, totally including 12 cases with PPRCVS. The clinical data of these 12 cases were accordingly analyzed and summarized. The characteristics of these cases were compared with those reported in other countries, and eventually the clinical characteristics of Chinese PPRCVS patients were summarized.The clinical characteristics of Chinese PPRCVS patients were basically as same as those found in other countries, while the onset age was earlier, PPRCVS often occurred earlier after delivery, with higher proportions of concomitant symptoms and abnormal laboratory and imaging examinations; moreover, and fewer patients were diagnosed by digital subtraction angiography (DSA).
可逆性脑血管收缩综合征（RCVS）是一种以严重头痛为主要症状的罕见临床综合征。产后可逆性脑血管收缩综合征（PPRCVS）是指发生在产褥期的RCVS，其发病率低，在临床实践中容易漏诊和误诊。通过检索中国知网和万方数据库，发现9篇发表的关于PPRCVS的文章，共纳入12例PPRCVS患者。对这12例患者的临床资料进行了分析和总结。将这些病例的特征与其他国家报道的病例进行比较，最终总结出中国PPRCVS患者的临床特点。中国PPRCVS患者的临床特点与其他国家报道的基本相同，但发病年龄较早，PPRCVS常在产后较早发生，伴随症状及实验室和影像学检查异常的比例较高；此外，通过数字减影血管造影（DSA）诊断的患者较少。
