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Postpartum Cerebral Angiography is There a Role for Sympathomimetic Drugs?
Stroke 24:2108-2110, Raroque,H.G.,et al, 1993
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Article Abstract
A postpartum patient,initially presenting with headaches,subsequently manifested rapid neurological deterioration after ingesting isometheptene, a sympathomimetic drug.She was not on any ergot derivative but presented similar clinical and radiological manifestations.She experienced increased headache severity,visual disturbance,and seizures associated with multiple segmental cerebral vasoconstriction on angiography and increased T2- weighted signal in the occipital areas on magnetic resonance imaging.This case is additional evidence that sympathomimetic actions of some drugs, such as ergot derivatives and isometheptene,may lead to postpartum cerebral angiopathy.Documentation of medication used by postpartum women suffering similar complications is needed to verify these findings.
 
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adverse drug reaction
angiography,cerebral
cerebrovascular accident
cerebrovascular accident,postpartum
headache
MRI
MRI,abnormal
occipital lobe,infarction,bilateral
postpartum
postpartum cerebral angiopathy
pregnancy,neurologic complications in
sympathomimetic drugs
vasospasm,cerebral

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