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Background. Postpartum is known to be an important risk factor for stroke. Br omocriptine may induce cerebral angiopathy. Case description. We report the case of a 26-year-old postpartum woman who presented with headaches, seizures, h ypertension and acute renal failure eight days after the beginning of a treatmen t with bromocriptine prescribed for lactation suppression. Brain MRI and MR angi ogram excluded cortical vein thrombosis and revealed multiple abnormal areas of increased signal in the cortex with segmental arterial narrowings of intracrania l vasculitis. The patient completely recovered within one week after drug withdr awal. Biological and radiological abnormalities were also reversible. Following the chronology bromocriptine was most likely responsible for this adverse cerebr al and systemic event. Conclusion. Clinicians should be aware of bromocripine- related postpartum cerebral angiopathy, a rarely described but serious complicat ion of bromocriptine used to prevent postpartum breast engorgement.
Background description Post omnipotence is known to be an important risk factor for stroke. Br omocriptine may induce cerebral angiopathy. Case report. We report the case of a 26-year-old postpartum woman who presented with headaches, seizures, h ypertension and acute renal failure eight days after the beginning of a treatmen t with bromocriptine prescribed for lactation suppression. Brain MRI and MR angiogram excluded cortical vein thrombosis and revealed multiple abnormal areas of increased signal in the cortex with segmental arterial narrowings of intracrania l vasculitis. Following the chronology of bromocriptine was most likely responsible for this adverse cerebr al and systemic event. Conclusion. Clinicians should be aware of bromocripine-related postpartum cerebral angiopathy, a. but serious complicat ion of bromocriptine used to prevent pos tpartum breast engorgement.