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2013 ; 2013
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BMJ Case Rep
2013[Dec]; 2013
(ä): ä PMID24311423
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Reversible cerebral vasoconstriction syndrome and reversible posterior
leukoencephalopathy syndrome are distinct clinicoradiological disorders which
share certain features in terms of aetiology, pathogenesis and symptomatology. We
present a case of a young primigravida with eclampsia who developed severe
headache, vision loss and hemiparesis in the postpartum phase. MRI of the brain
was suggestive of the involvement of anterior as well as posterior circulation
and reversibility of widespread angiographic constrictions could be documented on
follow-up. Despite the resolution of vascular changes, vision loss did not
improve significantly in our case. Such an overlap of findings is unusual and
probably represents the spectrum of cerebral-autoregulatory dysfunction occurring
in these two syndromes.