POSTPARTUM CEREBRAL VASOSPASM TREATED WITH HYPERVOLEMIC THERAPY

In a 23-year-old woman, gravida 1, para 1-0-0-1, headaches and seizure s developed 1 week after an uncomplicated delivery. Cerebral angiograp hy revealed severe, diffuse cerebral vasospasm. Her symptoms resolved with hyperosmolar, hypervolemic therapy and nimodipine. Magnetic reson ance angiography on postpartum day 23 confirmed persistent, severe vas ospasm, and repeat magnetic resonance angiography on postpartum day 33 demonstrated interval improvement. This report documents the time cou rse of a case of postpartum vasospasm and its response to hypervolemic , hyperosmolar therapy and nimodipine.