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To the Editor:
Lee et al.1 describe two cases of what they term “postpartum cerebral angiopathy” (PPCA), characterized by onset of headache, visual disturbance, and seizures postpartum. Cerebral vascular studies demonstrated disproportionate reversible basilar artery spasm.
The authors avoid the term “eclampsia,” despite the typical clinicoradiologic presentation. I believe the absence of proteinuria or edema does not denote another clinical entity in an otherwise compatible clinical setting. Sibai et al.2 presented six patients with late postpartum eclampsia among 3,699 deliveries. Only four patients had edema, three had proteinuria, and all had transient hypertension. Raps et al.3 presented …
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