Transient Ischemic Attacks in Central Nervous System Vasculitis After Delivery: Case Report

A twenty-five-year-old woman with cerebral vasculitis is presented. She had been delivered of her first infant without complications three weeks previously, and after delivery suffered from recurrent severe headaches and a transient right sensory hemiparesis. The diagnosis was based on four-vessels angiography showing segmental narrowing (a "beaded" or "sausaged" appearance) in the arteries of bilateral hemispheres and cerebellum, and on clinical and laboratory investigations excluding other underlying disease. Although the correlation with this rare condition and pregnancy remains unknown, her recurrent severe headaches remarkably improved on treatment with corticosteroid.