Abstract
When severe headache in the postpartum period is not relieved by medication, it could be due to a serious underlying condition such as cerebral angiopathy or venous sinus thrombosis. This particular case of a lady presenting with thunderclap headache in the first postpartum week was diagnosed as postpartum cerebral angiopathy complicated by subarachnoid haemorrhage. Brain imaging with CT, MRI, MR angiography and venography helped to establish the diagnosis. Persistent severe postpartum headache should be evaluated and appropriately treated to prevent patient morbidity and mortality.
Key words: Postpartum, thunderclap, headache, vasoconstriction, angiopathy
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