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Basilar artery vasospasm in postpartum cerebral angiopathy

From the Department of Neurology and Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Address correspondence and reprint requests to Dr. Young H. Sohn, Department of Neurology, Yonsei University College of Medicine, CPO Box 8044, Seoul, Korea.

The reason cerebral edema in postpartum cerebral angiopathy (PPCA) occurs preferentially in the posterior brain is poorly understood. The authors present two patients with PPCA who showed vasospasm occurring earlier and more severely in the basilar artery than in the middle cerebral artery. Our patients demonstrate the difference in vascular change between the anterior and posterior cerebral vessels, explaining the susceptibility of the posterior brain to PPCA.

Key words: Cerebrovascular disorders—Basilar artery—Vasospasm—Pregnancy—Hypertension.

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