Reversible cerebral vasoconstriction syndrome – A narrative revision of the literature

Santos, Laura Jurema dos; Azevedo, Elsa

doi:10.1016/j.pbj.2016.04.002

Cited by 17 publications

(13 citation statements)

References 71 publications

(186 reference statements)

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“…On arrival to the hospital, the patient's vital signs revealed a blood pressure of 147/78 mmHg. Seizures can be present at onset as well, but their recurrence is rare [9]. Rapid progression of the disease is very unusual in RCVS [5], but our patient did develop rapid neurological decline after she was hospitalized.…”

Section: Introductionmentioning

confidence: 60%

“…This type of fulminant course is encountered in 5-10% of patients with RCVS resulting in permanent disability and death [10]. However, this intervention should be utilized based on access to intervention and operator experience as this procedure is higher risk [1,9]. Although magnesium and calcium channel blockers have been used in previous reported cases of RCVS, no standard treatment regimen has been established [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fulminant Reversible Cerebral Vasoconstriction Syndrome: The Other Thunderclap Headache

Brown¹,

Brady²,

Alimam³

2020

Glob J Medical Clin Case Rep

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Section: Introductionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Fulminant Reversible Cerebral Vasoconstriction Syndrome: The Other Thunderclap Headache

Brown¹,

Brady²,

Alimam³

2020

Glob J Medical Clin Case Rep

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“…Immunosuppressants such as tacrolimus and cyclophosphamide, and even intravenous immunoglobulin, are reported to be precipitating causes. 6 Therefore, accurate diagnosis and proper management are critical to avoid unexpected results.…”

Section: Discussionmentioning

confidence: 99%

A systemic lupus erythematosus patient with thunderclap headache: reversible cerebral vasoconstriction syndrome

Chung

Lee

Heo

et al. 2019

Lupus

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Headaches are common in patients with systemic lupus erythematosus (SLE). It is important to identify the exact cause of headaches in SLE to avoid unnecessary steroid or immunosuppressive therapy like in neuropsychiatric SLE. A 35-year-old woman with SLE suddenly developed severe headache. Magnetic resonance angiography showed multifocal segmental narrowing of cerebral arteries, suggestive of central nervous system vasculitis. However, lack of abnormal enhancement in vessel wall imaging indicated reversible cerebral vasoconstriction syndrome (RCVS) rather than central nervous system vasculitis. The patient was treated with oral nimodipine and she recovered over a period of two months. Following magnetic resonance angiography on day 90 was normal. Herein we report a case of reversible cerebral vasoconstriction syndrome in an SLE patient with literature review.

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“…Glucocorticoids should be avoided as they do not prevent clinical deterioration and have been associated with worsening of clinical outcome [2]. In cases of severe vasoconstriction, endovascular treatment with the use of intra-arterial vasodilators or balloon angioplasty of larger vessels has been described [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Intracerebral Hemorrhages Secondary to Reversible Cerebral Vasoconstriction Syndrome: Case Report and Literature Review

Dantas¹,

Júnior²,

Carvalho³

et al. 2019

CNN

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Reversible cerebral vasoconstriction syndrome is an unusual entity, characterized by recurrent thunderclap headache and segmental narrowing of the cerebral arteries, typically with remission within three months. It has been described since the 1960s with several names, including Call-Fleming syndrome. More than 500 cases have been described in the literature, yet the pathophysiology remains not well understood. Ischemic or hemorrhagic strokes are the major possible complications of the syndrome, leading to permanent neurological deficits or death in a small percentage of patients. We report a case of a 48-year-old female patient without known risk factors that presented two foci of intracerebral hemorrhages, with hemiparesis ipsilateral to the biggest intracerebral lesion. Magnetic resonance imaging tractography revealed normal pyramidal decussation, and the patient evolved with completely recover of the neurological deficit within a week. The authors believe that in the present case neurological deficit may be related to contralateral narrowing of the cerebral arteries and diffuse impairment of the central nervous system instead of intracerebral hemorrhage itself. RCVS is a rare condition that should be considered in patients with recurrent thunderclap type headache. Further prospective and randomized studies are still necessary to improve the management and treatment of patients with the syndrome.

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Reversible cerebral vasoconstriction syndrome – A narrative revision of the literature

Cited by 17 publications

References 71 publications

Fulminant Reversible Cerebral Vasoconstriction Syndrome: The Other Thunderclap Headache

Fulminant Reversible Cerebral Vasoconstriction Syndrome: The Other Thunderclap Headache

A systemic lupus erythematosus patient with thunderclap headache: reversible cerebral vasoconstriction syndrome

Intracerebral Hemorrhages Secondary to Reversible Cerebral Vasoconstriction Syndrome: Case Report and Literature Review

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