keyword
https://read.qxmd.com/read/38498256/concurrent-spontaneous-coronary-dissection-and-reversible-cerebral-vasoconstriction-syndrome-during-postnatal-care
#1
JOURNAL ARTICLE
Sang Gon Yoon, Yeo-Jeong Song, Yun-Seok Song, Jino Park, Seunghwan Kim, Dong-Kie Kim, Ki-Hun Kim, Doo-Il Kim, Hyun Kuk Kim, Dong Ah Lee
BACKGROUND: Pregnancy-associated spontaneous coronary artery dissection (SCAD) and reversible cerebral vasoconstriction syndrome (RCVS) are rare conditions that may occur during pregnancy and the postpartum period. The coexistence of both diseases may pose a risk to patients, potentially resulting in a variety of complications and clinical manifestations. This is considered the first case of a patient who successfully recovered from a critical condition in the postpartum period, with contemporaneous SCAD and RCVS...
March 18, 2024: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/38485321/reversible-cerebral-vasoconstriction-syndrome-shows-different-clinical-pictures-at-different-times-during-the-perinatal-period-two-case-reports
#2
Sena Hamano, Kaori Toda, Mayu Sato, Hiroko Taniguchi, Takatsugu Maeda, Katsufumi Otsuki, Masato Kamitomo, Yoshio Matsuda
OBJECTIVE: With the development of diagnostic imaging, a new clinical entity called reversible cerebral vasoconstriction syndrome (RCVS), which is considered to be a cause of secondary headache, has emerged. We herein present two cases of RCVS with different patterns of clinical progression. CASE REPORT: Case 1 occurred during labor, whereas case 2 occurred after delivery. Neither case presnted thunderclap headache at the onset of symptoms. Hypertensive disorders of pregnancy did not occur during the pregnancy or the puerperium in either case...
March 2024: Taiwanese Journal of Obstetrics & Gynecology
https://read.qxmd.com/read/38466700/the-prevalence-of-non-contrast-ct-imaging-abnormalities-in-reversible-cerebral-vasoconstriction-syndrome-a-systematic-review-and-meta-analysis
#3
JOURNAL ARTICLE
Ryan Daniel Gotesman, Naomi Niznick, Brian Dewar, Dean A Fergusson, Ranjeeta Mallick, Risa Shorr, Michel Shamy, Dar Dowlatshahi
BACKGROUND: Reversible cerebral vasoconstriction syndrome (RCVS) is a syndrome of recurrent thunderclap headaches and reversible vasoconstriction of the cerebral arteries on neuroimaging within 3 months of onset. Initial non-contrast computed tomography (CT) can reveal abnormalities such as ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage (SAH) can be present in patients with RCVS and may delay diagnosis. AIMS: We conducted a systematic review and meta-analysis in accordance with the PRISMA guidelines...
2024: PloS One
https://read.qxmd.com/read/38444192/predictors-of-angiographic-resolution-in-patients-with-presumed-reversible-cerebral-vasoconstriction-syndrome
#4
JOURNAL ARTICLE
Adrusht Madapoosi, Laura Stone McGuire, Jessica Hossa, Angelica Fuentes, Mpuekela Tshibangu, Peter Theiss, Sepideh Amin-Hanjani, Ali Alaraj
INTRODUCTION: Reversible cerebral vasoconstriction syndrome is a complex neurovascular syndrome that presents with varying neurological deficits as well as segmental vasoconstriction of the small and medium cerebral arteries. There is limited literature on pathologies that mimic reversible cerebral vasoconstriction syndrome, so this study aims to understand what factors may impact the angiographic confirmation of reversible cerebral vasoconstriction syndrome on follow-up and play a role in establishing the diagnosis...
March 5, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38405405/case-report-neuronal-intranuclear-inclusion-disease-initially-mimicking-reversible-cerebral-vasoconstriction-syndrome-serial-neuroimaging-findings-during-an-11-year-follow-up
#5
Gha-Hyun Lee, Eugene Jung, Na-Yeon Jung, Takeshi Mizuguchi, Naomichi Matsumoto, Eun-Joo Kim
Neuronal intranuclear inclusion disease (NIID) is a rare, progressive neurodegenerative disorder known for its diverse clinical manifestations. Although episodic neurogenic events can be associated with NIID, no reported cases have demonstrated concurrent clinical features or MRI findings resembling reversible cerebral vasoconstriction syndrome (RCVS). Here, we present the inaugural case of an adult-onset NIID patient who initially displayed symptoms reminiscent of RCVS. The 59-year-old male patient's initial presentation included a thunderclap headache, right visual field deficit, and confusion...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38367200/primary-headache-associated-with-sexual-activity-a-review-of-the-literature
#6
REVIEW
Philip Maynard, Anna Pace
PURPOSE OF REVIEW: This review summarizes the evolution in diagnosis, evaluation, and treatment of primary headache associated with sexual activity (PHASA). RECENT FINDINGS: Despite increased access to patient information and advances in imaging, the pathophysiology of PHASA remains not fully understood. There are many secondary headaches that may present with headache during sexual activity, and a thorough workup is indicated to rule out potentially life-threatening etiologies...
February 17, 2024: Current Pain and Headache Reports
https://read.qxmd.com/read/38212667/multinodular-and-vacuolating-neuronal-tumor-initially-misdiagnosed-as-acute-cerebral-infarction-presenting-with-thunderclap-headache
#7
JOURNAL ARTICLE
Taehoon Do, Jae Sang Lee, Seung-Jae Lee, Jungbin Lee
No abstract text is available yet for this article.
January 5, 2024: Journal of Clinical Neurology
https://read.qxmd.com/read/38159443/a-case-report-on-concomitant-reversible-cerebral-vasoconstriction-syndrome-and-transient-global-amnesia
#8
F Maibach, A Czaplinski, N Peters, A Paliantonis
Reversible Cerebral Vasoconstriction Syndrome clinically presents as severe headaches with or without neurological deficits accompanied by multilocal caliber variation of the cerebral arteries on imaging studies. Transient Global Amnesia is a benign neurological condition that implies sudden temporary antero- and retrograde amnesia. The exact pathophysiological mechanisms involved in transient global amnesia and reversible cerebral vasoconstriction syndrome remain unclear but suggest similar pathways as both can be triggered by factors that activate the sympathetic nervous system...
December 5, 2023: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://read.qxmd.com/read/38114891/association-between-impaired-dynamic-cerebral-autoregulation-and-bbb-disruption-in-reversible-cerebral-vasoconstriction-syndrome
#9
JOURNAL ARTICLE
Yu-Hsiang Ling, Nai-Fang Chi, Li-Ling Hope Pan, Yen-Feng Wang, Chia-Hung Wu, Jiing-Feng Lirng, Jong-Ling Fuh, Shuu-Jiun Wang, Shih-Pin Chen
BACKGROUND: Half of the sufferers of reversible cerebral vasoconstriction syndrome (RCVS) exhibit imaging-proven blood-brain barrier disruption. The pathogenesis of blood-brain barrier disruption in RCVS remains unclear and mechanism-specific intervention is lacking. We speculated that cerebrovascular dysregulation might be associated with blood-brain barrier disruption in RCVS. Hence, we aimed to evaluate whether the dynamic cerebral autoregulation is altered in patients with RCVS and could be associated with blood-brain barrier disruption...
December 19, 2023: Journal of Headache and Pain
https://read.qxmd.com/read/38102306/subarachnoid-haemorrhage-or-traumatic-lumbar-puncture-differentiation-by-cerebrospinal-fluid-parameters-in-a-multivariable-approach
#10
JOURNAL ARTICLE
Anne Zinganell, Klaus Berek, Gabriel Bsteh, Franziska Di Pauli, Verena Rass, Raimund Helbok, Janette Walde, Florian Deisenhammer, Harald Hegen
Lumbar puncture (LP) is recommended in patients with thunderclap headache and negative computed tomography to rule out spontaneous subarachnoid haemorrhage (SAH). Blood contamination of cerebrospinal fluid (CSF) due to traumatic LP poses a diagnostic dilemma. Therefore, routine CSF parameters were investigated to distinguish between SAH and a traumatic LP. CSF red blood cell (RBC), white blood cell (WBC) count, total protein, CSF colour and supernatant were used for group comparisons of patients with SAH and 'symptomatic controls'...
December 15, 2023: Scientific Reports
https://read.qxmd.com/read/37900590/reversible-cerebral-vasoconstriction-syndrome-following-intracranial-hypotension-in-a-postpartum-patient-a-case-report-and-literature-review
#11
Shuhua Li, Yi Yang, Jiacai Zuo, Ningli Du, Guoxian Kou
INTRODUCTION: Reversible cerebral vasoconstriction syndrome (RCVS) is a potentially life-threatening neurological disorder, rarely linked to intracranial hypotension. The presentation showed a patient with intracranial hypotension after peridural anesthesia who experienced RCVS during the early postpartum period, suggesting a potential involvement of intracranial hypotension in RCVS occurrence. CASE REPORT: A young female of 29 years of age initially developed an orthostatic headache after undergoing a painless delivery with lumbar epidural anesthesia...
2023: Frontiers in Neurology
https://read.qxmd.com/read/37868238/reversible-cerebral-vasoconstriction-syndrome-associated-with-oxybutynin-use-a-brief-review-of-pathophysiology
#12
Wahab J Khan, Muhammad Asif, Sadia Aslam, Ifrah Nadeem, William Rossing
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by reversible vasospasm of the central nervous system vasculature. It usually presents as a classic thunderclap headache, but complications like a stroke, seizure, or intracranial hemorrhage may occur at the onset. Most cases are linked temporally to secondary agents. The most common suggested mechanism underlying the RCVS is vascular tone dysregulation. Our report describes the RCVS incidence associated with oxybutynin use in a young female...
2023: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/37843947/nontraumatic-subarachnoid-hemorrhage-and-ruptured-intracranial-aneurysm-recognition-and-evaluation
#13
JOURNAL ARTICLE
Shawn F Kane, Erik Butler, Brian D Sindelar
Subarachnoid hemorrhage caused by a ruptured intracranial aneurysm is a neurosurgical emergency with a mortality rate of approximately 50%. Prompt identification and treatment of aneurysmal subarachnoid hemorrhage are paramount to reduce mortality, long-term morbidity, and health care burden for survivors. The prevalence of intracranial aneurysms is 2% to 6% of the global population, many of which are found incidentally during workup for an unrelated condition. Screening is not recommended for the general population and should be reserved for patients who have at least one family member with a history of intracranial aneurysm or subarachnoid hemorrhage or when there is a high index of suspicion for those with certain medical conditions associated with an increased incidence of intracranial aneurysms...
October 2023: American Family Physician
https://read.qxmd.com/read/37789979/guillain-barr%C3%A3-syndrome-complicated-by-posterior-reversible-encephalopathy-syndrome-and-reversible-cerebral-vasoconstriction-syndrome
#14
JOURNAL ARTICLE
Haruka Kobayashi, Yoji Hoshina, Hidemasa Higa, Takashi Watari
INTRODUCTION: Guillain-Barré syndrome is an immune-mediated inflammatory polyneuritis characterised by rapidly progressive flaccid paralysis. Guillain-Barré syndrome may present with posterior reversible encephalopathy syndrome or reversible cerebral vasoconstriction syndrome in rare cases. CASE DESCRIPTION: A woman in her 60s with a history of follicular lymphoma presented with a one-week history of difficulty walking and thunderclap headaches. The patient was diagnosed with Guillain-Barré syndrome based on neurological examination, cerebrospinal fluid analysis and nerve conduction findings...
2023: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/37789263/a-case-report-of-reversible-cerebral-vasoconstriction-syndrome-with-thunderclap-headache-significantly-exacerbated-in-the-supine-position-and-alleviated-in-the-standing-position
#15
JOURNAL ARTICLE
Genri Toyama, Shintaro Tsuboguchi, Kazuya Igarashi, Etsuji Saji, Takuya Konno, Osamu Onodera
BACKGROUND: Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by sudden onset thunderclap headache and multiple segmental reversible cerebral vasoconstrictions that improve within 3 months. The postpartum period is a well-known precipitating factor for the onset of RCVS. Cerebral venous thrombosis (CVT) causes thunderclap headaches in the postpartum period. While headache in CVT is sometimes exacerbated in the supine position, the severity of the headache in RCVS is usually independent of body position...
October 3, 2023: BMC Neurology
https://read.qxmd.com/read/37761318/reversible-cerebral-vasoconstriction-syndrome-and-raynaud-s-phenomenon-is-there-a-link-between-the-pathogeneses-of-their-underlying-complex-etiology-a-case-report-and-literature-review
#16
Fahidah Alenzi, David P D'Cruz
Reversible cerebral vasoconstriction syndrome (RCVS) typically manifests as a sudden, severe thunderclap headache due to narrowing of the cerebral arteries. Symptoms usually resolve within three months. An imbalance in cerebral vascular tone, an abnormal endothelial function, and a decreased autoregulation of cerebral blood flow are thought to be involved in the pathogenesis of RCVS. However, the precise origin of this condition is not yet fully understood. Symptoms of Raynaud's phenomenon (RP) include vasospasm of arterioles of the digits...
September 14, 2023: Diagnostics
https://read.qxmd.com/read/37710275/sudden-onset-headaches-in-paediatric-emergency-departments-diagnosis-and-management
#17
REVIEW
Léa Lenglart, Cécile Monteil, Eugenia Spreafico, Thomas Moulding, Luigi Titomanlio
Headache is one of the most common pain syndromes in the paediatric population. Headaches are classified as primary (migraine, tension-type headaches, trigeminal autonomic cephalalgia and other primary headaches) or secondary (e.g. post-traumatic). Non-febrile, non-traumatic headaches represent 1% of all paediatric emergency departments (PED) visits. Many patients present with an acute, moderate to severe pain, sometimes with a sudden onset. Sudden onset headache can be the main symptom of life-threatening neurological conditions as well as a sign of primary headaches such as thunderclap or stabbing headaches...
September 14, 2023: Italian Journal of Pediatrics
https://read.qxmd.com/read/37685270/headache-attributed-to-reversible-cerebral-vasoconstriction-syndrome-rcvs
#18
REVIEW
Vasileios Tentolouris-Piperas, Loukas Lymperopoulos, Argyro Tountopoulou, Sophia Vassilopoulou, Dimos D Mitsikostas
Reversible cerebral vasoconstriction syndrome (RCVS) is a condition with variable outcomes presenting a new onset thunderclap headache accompanied by focal neurological symptoms or seizures. It can be idiopathic or arise secondarily to a variety of trigger factors. The condition is increasingly recognized in clinical practice, but many facets remain poorly understood. This article aims to clarify the headache characteristics in RCVS, the temporal association of angiographic findings, the potential association of the condition with SARS-CoV-2 infection, and the clinical presentation of RCVS in children and is based on a systematic PRISMA search for published analytical or large descriptive observational studies...
August 22, 2023: Diagnostics
https://read.qxmd.com/read/37671233/recurrent-reversible-cerebral-vasoconstriction-syndrome-a-report-of-two-cases
#19
Pooja A Patel, Emma Sanborn, Ryna Then, Dena M Williams
Reversible cerebral vasoconstriction syndrome (RCVS) is a rare neurological condition that classically presents with recurrent, thunderclap headaches and radiographic findings of multifocal narrowing of cerebral vasculature. Complications of RCVS may include ischemic or hemorrhagic strokes. Sympathomimetic agents including cannabinoids have been associated as precipitants in many cases. RCVS is classically considered to be reversible, although cases of recurrent RCVS have been described in the literature...
August 2023: Curēus
https://read.qxmd.com/read/37632682/new-daily-persistent-headache-ndph-unraveling-the-complexities-of-diagnosis-pathophysiology-and-treatment
#20
REVIEW
Majid Sadeghpour, Ali Abdolizadeh, Pourya Yousefi, Ali Rastegar-Kashkouli, Ahmad Chitsaz
PURPOSE OF REVIEW: The current article aims to provide an overview of new daily persistent headache (NDPH), with a particular emphasis on its pathophysiology, evaluation, and current treatment options. RECENT FINDINGS: NDPH is an uncommon and heterogeneous condition associated with various comorbidities and is of great significance due to its prolonged duration and high severity. Variable causes and clinical aspects of NDPH may reflect differences in its underlying pathophysiological mechanisms, including genetics, environmental triggers, neuroinflammation, and brain changes...
October 2023: Current Pain and Headache Reports
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