• A&A practice · Sep 2020

    Case Reports

    Anesthetic Management of Reversible Cerebral Vasoconstriction Syndrome During Vaginal Delivery: A Case Report.

    • Jack M Peace, Adithya D Bhat, and Feyce M Peralta.
    • From the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
    • A A Pract. 2020 Sep 1; 14 (11): e01298.

    AbstractReversible cerebral vasoconstriction syndrome (RCVS) is a rare group of vascular disorders characterized by severe headache with or without other neurologic symptoms. Pregnancy is known to precipitate RCVS, typically in the postpartum period. With improved recognition of this condition, RCVS is now increasingly identified in the antepartum period. Labor and vaginal delivery are characterized by fluctuations in hemodynamic and intracerebral pressures and present challenges for intrapartum anesthetic management. We report our experience with a patient with RCVS admitted for external cephalic version and subsequent vaginal delivery.

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