Q; 24 year old female 2 weeks post partum developed severe headache of one week followed by seizure. While you start workup what would be your presumptive diagnosis and line of mangement?


Answer: Postpartum cerebral vasospasm would be high on list

Cerebral angiography or Magnetic resonance imaging/angiography should be perform as soon as possible to rule out vasospasm. IV fluid should be started with atleast 125 cc/hour and goal to keep BP high. Treatment consist of hyperosmolar, hypervolemic therapy and nimodipine.