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Guidelines on the management of future pregnancies in these patients are also limited. We present a case of a 33\u2010year\u2010old female who developed a severe, sudden\u2010onset headache 2\u2009h after a vaginal birth in a maternity hospital. The severe headaches recurred and were associated with neck pain, nausea, vomiting, and photophobia. Preliminary neuroimaging only included a noncontrast CT brain. This was normal and she was treated with triptans for presumed migraines. However, she had ongoing headaches that were refractory to treatment. On Day 14 postpartum, neuroimaging that included vessel imaging revealed multifocal vasoconstriction of the cerebral arteries (highly suggestive of RCVS), bilateral VAD, and five small cerebral infarcts. She was transferred to a tertiary hospital and treated with verapamil and aspirin, and triptans were ceased. Following her index event, the patient recovered well with no neurological sequelae apart from chronic migraine. Three years later, with effective management that included routine preeclampsia prevention, she had a safe subsequent pregnancy and birth.<\/jats:p>","DOI":"10.1002\/ccr3.71821","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T10:16:04Z","timestamp":1768385764000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Concurrent Reversible Cerebral Vasoconstriction Syndrome and Bilateral Vertebral Artery Dissection in the Postpartum Period: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3709-7921","authenticated-orcid":false,"given":"Rong","family":"Jin","sequence":"first","affiliation":[{"name":"Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huiliang Melissa","family":"Tang","sequence":"additional","affiliation":[{"name":"Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shavi","family":"Fernando","sequence":"additional","affiliation":[{"name":"Monash University  Clayton Victoria Australia"},{"name":"Monash Health  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-022-11425-z"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41983-023-00607-9"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.123.046312"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/03331024241267316"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2024.107753"},{"key":"e_1_2_13_7_1","unstructured":"International Headache Society \u201cThe International Classification of Headache Disorders 3rd Edition (ICHD\u20103): 6.7.3.1 Acute Headache Attributed to Reversible Cerebral Vasoconstriction Syndrome (RCVS)\u201d(2021) https:\/\/ichd\u20103.org\/6\u2010headache\u2010attributed\u2010to\u2010cranial\u2010or\u2010cervical\u2010vascular\u2010disorder\/6\u20107\u2010headache\u2010attributed\u2010to\u2010other\u2010acute\u2010intracranial\u2010arterial\u2010disorder\/6\u20107\u20103\u2010headache\u2010attributed\u2010to\u2010reversible\u2010cerebral\u2010vasoconstriction\u2010syndrome\u2010rcvs\/6\u20107\u20103\u20101\u2010headache\u2010probably\u2010attributed\u2010to\u2010reversible\u2010cerebral\u2010vasoconstriction\u2010syndrome\u2010rcvs\/."},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-020-00908-1"},{"key":"e_1_2_13_9_1","volume-title":"Reversible Cerebral Vasoconstriction Syndromes","author":"Nesheiwat O.","year":"2024"},{"issue":"1","key":"e_1_2_13_10_1","article-title":"Clinical Characteristics, Course, and Outcomes of Vertebral Artery Dissections in the Postpartum Period; a Pooled Analysis of Published Case Reports","volume":"11","author":"Adel Diab R.","year":"2023","journal-title":"Archives of Academic Emergency Medicine"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2007.10.001"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.105490"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2023.100281"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000457"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2019.0072"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00044-2"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000189"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/neurolint14020040"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182a2cbe2"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-010521"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2021.12.004"},{"key":"e_1_2_13_22_1","doi-asserted-by":"crossref","unstructured":"International Headache Society \u201cThe International Classification of Headache Disorders 3rd Edition (ICHD\u20103): 2. 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