Abstract
BackgroundPostpartum reversible cerebral vasoconstriction syndrome is one of the rare reversible cerebral vasoconstriction syndromes. The clinical presentation is usually characterized by recurrent headache, focal neurological deficit, and reversible cerebral vasoconstriction seen on cerebral angiography.Case presentationWe report a case of a 35-year-old Yemeni woman who presented with headache and focal neurological deficits that occurred 10 days after delivery, with segmental narrowing of cerebral arteries on angiography. She had significant clinical and radiological improvement on follow-up.ConclusionsThe presentation of our patient’s reversible cerebral vasoconstriction syndrome is unusual as she has two possible precipitating factors. In addition to being in the postpartum state, she also has a long history of chewing khat, a vasoactive substance commonly used by immigrants from Yemen. We hope that this case report will increase awareness among physicians about the use of this plant by immigrants from the horn of Africa and Yemen.
Highlights
Postpartum reversible cerebral vasoconstriction syndrome is one of the rare reversible cerebral vasoconstriction syndromes
In addition to being in the postpartum state, she has a long history of chewing khat, a vasoactive substance commonly used by immigrants from Yemen
We hope that this case report will increase awareness among physicians about the use of this plant by immigrants from the horn of Africa and Yemen
Summary
RCVS is no longer an unrecognized disease. In this case, our patient with nine uncomplicated pregnancies developed postpartum RCVS on her tenth pregnancy, which is unusual. We conclude that her long history of khat usage may be causally associated with her RCVS.
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