Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke

Reversible cerebral vasoconstriction syndrome is a complex condition characterized by temporary constriction of the brain's arteries. Diagnosis typically involves a retrospective approach, necessitating repeated imaging to confirm the resolution of cerebral arterial spasms. We describe a case o...

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Main Authors: Bheru Dan Charan, Shailesh B. Gaikwad, Leve Joseph Devarajan Sebastian, Savyasachi Jain, Ajay Garg, Nikhila Reddy
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2024-12-01
Series:Journal of Clinical Interventional Radiology ISVIR
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1786191
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author Bheru Dan Charan
Shailesh B. Gaikwad
Leve Joseph Devarajan Sebastian
Savyasachi Jain
Ajay Garg
Nikhila Reddy
author_facet Bheru Dan Charan
Shailesh B. Gaikwad
Leve Joseph Devarajan Sebastian
Savyasachi Jain
Ajay Garg
Nikhila Reddy
author_sort Bheru Dan Charan
collection DOAJ
description Reversible cerebral vasoconstriction syndrome is a complex condition characterized by temporary constriction of the brain's arteries. Diagnosis typically involves a retrospective approach, necessitating repeated imaging to confirm the resolution of cerebral arterial spasms. We describe a case of a 22-year-old female with a history of posterior circulation stroke and recurrent thunderclap headaches. On imaging, evidence of stroke, convexity subarachnoid hemorrhage, and multiple areas of stenosis and dilatation in the posterior circulation associated with normal laboratory parameters were found. The resolution of clinical symptoms and angiographic findings were noted in the follow-up. After other diagnoses are excluded, patients can be reassured about favorable prognosis.
format Article
id doaj-art-3d48fff003c04c709c54c956dfe7ba56
institution Kabale University
issn 2456-4869
language English
publishDate 2024-12-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Journal of Clinical Interventional Radiology ISVIR
spelling doaj-art-3d48fff003c04c709c54c956dfe7ba562025-08-20T03:55:33ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692024-12-01080316817210.1055/s-0044-1786191Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and StrokeBheru Dan Charan0Shailesh B. Gaikwad1Leve Joseph Devarajan Sebastian2Savyasachi Jain3Ajay Garg4Nikhila Reddy5Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, IndiaNeuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, IndiaNeuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, IndiaNeuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, IndiaNeuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, IndiaNeuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, IndiaReversible cerebral vasoconstriction syndrome is a complex condition characterized by temporary constriction of the brain's arteries. Diagnosis typically involves a retrospective approach, necessitating repeated imaging to confirm the resolution of cerebral arterial spasms. We describe a case of a 22-year-old female with a history of posterior circulation stroke and recurrent thunderclap headaches. On imaging, evidence of stroke, convexity subarachnoid hemorrhage, and multiple areas of stenosis and dilatation in the posterior circulation associated with normal laboratory parameters were found. The resolution of clinical symptoms and angiographic findings were noted in the follow-up. After other diagnoses are excluded, patients can be reassured about favorable prognosis.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1786191subarachnoid hemorrhagecerebral vasoconstrictionthunderclap headache
spellingShingle Bheru Dan Charan
Shailesh B. Gaikwad
Leve Joseph Devarajan Sebastian
Savyasachi Jain
Ajay Garg
Nikhila Reddy
Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke
Journal of Clinical Interventional Radiology ISVIR
subarachnoid hemorrhage
cerebral vasoconstriction
thunderclap headache
title Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke
title_full Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke
title_fullStr Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke
title_full_unstemmed Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke
title_short Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke
title_sort reversible cerebral vasoconstriction syndrome with subarachnoid hemorrhage and stroke
topic subarachnoid hemorrhage
cerebral vasoconstriction
thunderclap headache
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1786191
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AT levejosephdevarajansebastian reversiblecerebralvasoconstrictionsyndromewithsubarachnoidhemorrhageandstroke
AT savyasachijain reversiblecerebralvasoconstrictionsyndromewithsubarachnoidhemorrhageandstroke
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