Postpartum vasculopathy as a rare cause of stroke – what every neurologist should remember

Stroke in pregnancy and the puerperium is a rare condition. The treatment of ischaemic stroke (IS) difficult requires attending physicians to take quick decisions. Postpartum vasculopathy (PV) may be one causes postpartum stroke. aetiology PV not fully understood. It most often occurs first week after delivery. trigger factors include vasoconstrictive substances that are present blood women period. Most frequently, this condition subsequent pregnancy, primary symptom very severe headache. characteristic feature angiographic image cerebral vessels, where segmental vasoconstriction tortuous course vessels visible, which resembles beads impaled on string. This disease monophasic and, once has progressed, there no contraindications for pregnancy. No standard management been established, but authors agree acute phase includes cessation vasoconstrictors using calcium channel antagonists, magnesium intravenously, corticosteroids, associated conditions like headache, high pressure, oedema, seizure. also applies ASA, heparin when it’s needed, we with an IS treated successfully.