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https://www.readbyqxmd.com/read/27915588/reversible-cerebral-vasoconstriction-syndrome
#1
Michael Perdices, Geoffrey Herkes
Reversible cerebral vasoconstriction syndrome (RCVS) is a relatively rare, non-progressive angiopathy frequently heralded by severe thunderclap headache. It is characterised by vasoconstriction of cerebral arteries which usually resolves within three months of onset. Transient focal neurological signs may occur, and persistent deficits associated with haemorrhagic comorbidities have been reported in a small percentage of individuals. In this paper we report the case of RH, a 36-year-old woman who presented at a university teaching hospital in Sydney with a clinical history and radiological evidence consistent with RCVS...
December 5, 2016: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/27853083/reversible-cerebral-vasoconstriction-syndrome-with-transient-splenial-lesions-after-delivery
#2
Akiyuki Hiraga, Kyosuke Koide, Yuya Aotsuka, Satoshi Kuwabara
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasospasm and it is often accompanied by either posterior reversible encephalopathy syndrome or stroke. However, other MRI abnormalities have rarely been reported. A 28-year-old woman presented with a thunderclap headache immediately after delivery; MRI showed segmental vasoconstriction and an abnormal signal in the splenium of the corpus callosum. Neuroimaging abnormalities normalized 20 days after the first examination. Only two cases of RCVS with transient splenial lesions (TSL) have so far been reported...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27832620/-a-case-of-juvenile-cerebral-infarction-due-to-reversible-cerebral-vasoconstriction-syndrome
#3
Masaki Koh, Yoshifumi Tsuboi, Osamu Fukuda
A 19-year-old woman had a thunderclap headache, followed by left hemiparesis and left homonymous hemianopsia. Laboratory tests showed no signs of infection and immunological test results were unremarkable. MRI revealed a cerebral infarction in the right posterior cerebral artery territory, and digital subtraction angiography(DSA)showed right posterior cerebral artery stenosis on day 2. The first follow-up DSA demonstrated an irregular, bead-like appearance on day 9, but the stenotic lesion returned to normal on day 21...
November 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27819760/reversible-cerebral-vasoconstriction-syndrome-in-association-with-fingolimod-use
#4
Scott Belliston, Jayshree Sundararajan, Kathy Newell, Sharon Lynch
BACKGROUND: Reversible cerebral vasoconstriction syndrome (RCVS), also known as Call-Fleming syndrome, is characterized by thunderclap headaches, non-aneurysmal segmental cerebral vasoconstriction seen on arteriogram, and spontaneously resolves within twelve weeks. Fingolimod has been reported to cause posterior reversible encephalopathy syndrome (PRES) and one case of RCVS. OBJECTIVE: We report a case of RCVS possibly related to fingolimod use, and compare to cases of adverse outcomes in fingolimod use...
November 7, 2016: International Journal of Neuroscience
https://www.readbyqxmd.com/read/27752599/reversible-cerebral-vasoconstriction-syndrome-at-the-emergency-department
#5
Taerim Kim, Shin Ahn, Chang Hwan Sohn, Dong Woo Seo, Won Young Kim
OBJECTIVE: Reversible cerebral vasoconstriction syndrome (RCVS) is an underestimated cause of thunderclap headache that shares many characteristics with subarachnoid hemorrhage (SAH). This fact makes the two easily confused by emergency physicians. This study evaluated the clinical manifestations, radiological features, and outcomes of patients with RCVS. METHODS: The electronic medical records of 18 patients meeting the diagnostic criteria of RCVS at our emergency department between January 2013 and December 2014 were retrospectively reviewed...
December 2015: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/27741994/subarachnoid-hemorrhage
#6
Michael K Abraham, Wan-Tsu Wendy Chang
Aneurysmal subarachnoid hemorrhage (SAH) is a neurological emergency with high risk of neurological decline and death. Although the presentation of a thunderclap headache or the worst headache of a patient's life easily triggers the evaluation for SAH, subtle presentations are still missed. The gold standard for diagnostic evaluation of SAH remains noncontrast head computed tomography (CT) followed by lumbar puncture if the CT is negative for SAH. Management of patients with SAH follows standard resuscitation of critically ill patients with the emphasis on reducing risks of rebleeding and avoiding secondary brain injuries...
November 2016: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27741984/headache-in-the-emergency-department-avoiding-misdiagnosis-of-dangerous-secondary-causes
#7
Ramin R Tabatabai, Stuart P Swadron
There are a number of dangerous secondary causes of headaches that are life, limb, brain, or vision threatening that emergency physicians must consider in patients presenting with acute headache. Careful history and physical examination targeted at these important secondary causes of headache will help to avoid misdiagnosis in these patients. Patients with acute thunderclap headache have a differential diagnosis beyond subarachnoid hemorrhage. Considering the "context" of headache "PLUS" some other symptom or sign is one strategy to help focus the differential diagnosis...
November 2016: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/27739275/reversible-cerebral-vasoconstriction-syndrome
#8
Makarand Kulkarni, Vinay Chauhan, Sudheer Shetty
Reversible cerebral vasoconstriction syndrome (RCVS) is a disease characterized by thunderclap headache with severe vasospasm of middle sized vessels of circle of Willis or the extracranial circulation which spontaneously revert back. We report a middle aged female with severe headache and vasospasm of the vertebral arteries and vessels of circle of Willis causing multiple cerebral infarcts. The vasospasm resolved within 3 months.
June 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27721780/the-need-for-a-rational-approach-to-vasoconstrictive-syndromes-transcranial-doppler-and-calcium-channel-blockade-in-reversible-cerebral-vasoconstriction-syndrome
#9
Elisabeth B Marsh, Wendy C Ziai, Rafael H Llinas
INTRODUCTION: Reversible cerebral vasoconstriction syndrome (RCVS) typically affects young patients and left untreated can result in hemorrhage or ischemic stroke. Though the disorder has been well characterized in the literature, the most appropriate way to diagnose, treat, and evaluate therapeutic response remains unclear. In previous studies, transcranial Doppler ultrasound (TCD) has shown elevated velocities indicative of vasospasm. This imaging modality is noninvasive and inexpensive; an attractive option for diagnosis and therapeutic monitoring if it is sensitive enough to detect changes in the acute setting given that RCVS often affects the distal vessels early in the course of disease...
May 2016: Case Reports in Neurology
https://www.readbyqxmd.com/read/27699776/thunderclap-headaches
#10
Deborah Tepper
No abstract text is available yet for this article.
October 2016: Headache
https://www.readbyqxmd.com/read/27639512/-reversible-cerebral-vasoconstriction-syndrome-a-rare-pediatric-cause-of-thunderclap-headaches
#11
M Trolliet, A Sevely, J-F Albucher, N Nasr, C Hachon Lecamus, K Deiva, E Cheuret
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headaches with diffuse segmental constriction of cerebral arteries that resolves spontaneously within 3 months. We report on a case of a 13-year-old boy presenting with acute severe headaches, triggered by physical exertion. His past medical history was uneventful. Moderate headache persisted between exacerbations for 4 weeks. He secondarily presented with signs of intracranial hypertension. Brain magnetic resonance angiography (MRA) revealed multifocal narrowing of the cerebral arteries...
September 14, 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27579950/transcranial-doppler-ultrasonography-as-a-non-invasive-tool-for-diagnosis-and-monitoring-of-reversible-cerebral-vasoconstriction-syndrome
#12
Jay H Levin, Jorge Benavides, Claudine Caddick, Kathleen Laurie, Janet Wilterdink, Shadi Yaghi, Brian Silver, Muhib Khan
BACKGROUND AND PURPOSE: Reversible cerebral vasoconstriction syndrome (RCVS) is a vascular headache disorder characterized by severe headaches with vasospasm of cerebral arteries. Transcranial Doppler ultrasonography (TCD) has been widely applied and validated in studying vasospasm of intracranial vessels, but the role of TCD in the diagnosis and monitoring of RCVS is less well established. We sought to determine the reliability of TCD for diagnosis and monitoring of RCVS. METHODS: Patients admitted to an inpatient neurology service between 2011 and 2014 with a discharge diagnosis of RCVS were retrospectively analyzed for demographics, neuroimaging, and functional outcomes...
September 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27570377/looking-at-thunderclap-headache-differently-circa-2016
#13
K Ravishankar
The term "thunderclap headache" (TCH) was first coined in 1986 by Day and Raskin to describe headache that was the presenting feature of an underlying unruptured cerebral aneurysm. The term is now well established to describe the abrupt onset headache seen with many other conditions and is also now included in The International Classification of Headache Disorders 3(rd) edition beta version rubric 4.4. An essential to label an acute headache as "TCH" and differentiate it from other "sudden onset, severe headaches" is the arbitrary time frame of 1 min from onset to peak intensity for "TCH...
July 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27527623/headache-changes-prior-to-aneurysmal-rupture-a-symptom-of-unruptured-aneurysm
#14
V Gilard, L Grangeon, E Guegan-Massardier, M Sallansonnet-Froment, D Maltête, S Derrey, F Proust
BACKGROUND AND OBJECTIVES: The symptomatic status of unruptured aneurysms has to be looked for. The objective of this retrospective case-control study was to identify the headache semiologic characteristics of symptomatic aneurysms during the 3 months prior to patient admission. PATIENTS AND METHODS: The case cohort was composed of 40 consecutive patients admitted for the treatment of a ruptured intracranial aneurysm (IA) and able to answer a standardized questionnaire by the same neurologist...
August 12, 2016: Neuro-Chirurgie
https://www.readbyqxmd.com/read/27521842/reversible-cerebral-vasoconstriction-syndrome-precipitated-by-airplane-descent-case-report
#15
Akiyuki Hiraga, Yuya Aotsuka, Kyosuke Koide, Satoshi Kuwabara
BACKGROUND: Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasospasm. Vasoactive agents and childbirth have been reported as precipitating factors for RCVS; however, RCVS induced by altitude change or air travel has rarely been reported. CASE: We present a case of a 74-year-old woman who presented with thunderclap headache during airplane descent. Magnetic resonance angiography demonstrated segmental vasoconstriction that improved 9 days after onset...
August 12, 2016: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/27487735/bath-related-thunderclap-headache-case-report-of-a-male-patient
#16
Lou Grangeon, Gulden Ozel, Evelyne Guégan-Massardier, Romain Lefaucheur
Bath-related thunderclap headache (BRTH) is a rare entity, closed to reversible cerebral vasoconstriction syndrome. It is only described in middle-aged women and mainly Asiatic ethnic origins. Role of estrogen is consequently discussed. We report here a case of a 36-year-old man, admitted for five episodes of thunderclap headaches, triggered by hot shower. This is the first male case of BRTH, opposing only a hormonal hypothesis. Furthermore, this African patient consolidates the non-exclusivity of this affection to Asian ethnic origins...
November 2016: Headache
https://www.readbyqxmd.com/read/27455831/reversible-cerebral-vasoconstriction-syndrome-a-report-on-three-cases
#17
Duangnapa Roongpiboonsopit, Kannikar Kongbunkiat, Kammant Phanthumchinda
Reversible cerebral vasoconstriction syndrome (RCVS), a recently recognized syndrome, is defined as an intermittent segmental vasospasm of cerebral arteries accompanied by thunderclap headache. The major complications of RCVS include ischemic or hemorrhagic stroke, which may cause morbidity and mortality. It is important to detect RCVS in clinical practice because misdiagnosis may lead to inappropriate treatment. In Thailand, there are only two reported cases of RCVS, which may reflect an underdiagnosis of this syndrome...
January 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27393721/sex-and-age-related-differences-in-the-clinical-and-neuroimaging-characteristics-of-patients-with-spontaneous-intracranial-hypotension-a-records-review
#18
Yukitaka Tanaka, Masahiko Tosaka, Hiroya Fujimaki, Fumiaki Honda, Yuhei Yoshimoto
BACKGROUND: The significance of sex- and age-related differences in the clinical course of spontaneous intracranial hypotension (SIH) was investigated. METHODS: We retrospectively studied 40 consecutive patients (female:male = 28:12, median age 41.5 years) treated under clinical diagnoses of SIH satisfying the International Classification of Headache Disorders 3rd edition criteria, including 37 patients (92.5%) with diffuse pachymeningeal enhancement. The patients were divided into two groups by age and sex, and the clinical and neuroimaging findings in each group were investigated...
September 2016: Headache
https://www.readbyqxmd.com/read/27366300/diagnosing-rcvs-without-the-cv-the-evolution-of-reversible-cerebral-vasoconstriction-syndrome
#19
Nuri Jacoby, Ulrike Kaunzner, Marc Dinkin, Joseph Safdieh
This is a case of a 52-year-old man with a past medical history of 2 episodes of coital thunderclap headaches as well as recent cocaine, marijuana, and pseudoephedrine use, who presented with sudden, sharp, posterior headache associated with photophobia and phonophobia. His initial magnetic resonance imaging (MRI) of the brain, magnetic resonance angiography (MRA) of the head, and magnetic resonance venography (MRV) of the head were all normal as well as a normal lumbar puncture. Given the multiple risk factors for reversible cerebral vasoconstriction syndrome (RCVS), the patient was treated for suspected RCVS, despite the normal imaging...
July 2016: Neurohospitalist
https://www.readbyqxmd.com/read/27366299/thunderclap-headache-secondary-to-pneumocephalus-following-epidural-anesthesia
#20
J David Avila
No abstract text is available yet for this article.
July 2016: Neurohospitalist
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