Rare case of postpartum intracranial hemorrhage with reversible cerebral vasospasm syndrome

Abstract

Reversible Cerebral Vasoconstriction Syndrome (RCVS), historically known as postpartum cerebral angiopathy, is a rare but critical cause of stroke in the puerperium. While most RCVS cases follow a benign course, hemorrhagic complications—including intracerebral hemorrhage (ICH) and cortical subarachnoid hemorrhage (cSAH)—occur in approximately 30–40% of postpartum patients. This case highlights the diagnostic challenge of differentiating RCVS from eclampsia and the necessity of early vascular imaging.