Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
Postpartum cerebral angiopathy is a relatively rare condition. It can cause either ischemic or hemorrhagic stroke, or both, and usually occurs within the first week following noncomplicated pregnancy and natural delivery. Although its pathophysiology is unclear, the cause of the condition is believed to be prolonged reversible vasospasm. We present an unusual case of a 37-year-old woman who developed right hemiparesis with aphasia on day 8 of natural delivery complicated by pulmonary embolism. Steroids, heparin, and calcium channel blockers were successfully instituted and the patient was discharged from the hospital on day 50. The article presents clinical and imaging characteristics, differential diagnosis, management, and considers the difficulties that occurred during the patient’s hospital stay.Postpartalna cerebralna angiopatija je relativno rijetko stanje koje, međutim, može uzrokovati ishemijski ili hemoragijski moždani udar ili pak oba, a obično nastaje u prvom tjednu nakon trudnoće bez komplikacija i prirodnog porođaja. Iako patofiziologija ovoga stanja nije razjašnjena, smatra se da ga uzrokuje produženi reverzibilni vazospazam. Prikazujemo neuobičajeni slučaj 37-godišnje žene kod koje se razvila desnostrana hemipareza s afazijom 8. dana nakon prirodnog porođaja s komplikacijom plućne embolije. Uvođenje steroida, heparina i blokatora kalcijevih kanala pokazalo se uspješnim i bolesnica je otpuštena iz bolnice 50. dana bolničkog liječenja. Prikazuju se kliničke i slikovne značajke, diferencijalna dijagnostika i liječenje, uz osvrt na teškoće koje su se javile tijekom bolesničina boravka u bolnici
