Interventional Neuroradiology · 2012 · 36 citations · 8 references
MedicineNeurologyNeurosurgeryCerebrovascular NeurosurgeryCerebrovascular SurgeryVascular SurgeryAneurysm SurgeryCerebrovascular DiseaseIntracerebral HemorrhageStrokeSubarachnoid HemorrhageSubarachnoid Hemorrhage ManagementCerebral VasculopathyCerebrovascular Occlusive DiseaseFocal Neurological DeficitsNimodipine TherapyNimodipine TreatmentSubarachnoid Hemorrhage PharmacotherapyUnruptured Aneurysm ManagementUnruptured Intracranial Aneurysm Management
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by acute severe headache with or without additional neurological symptoms and reversible cerebral vasoconstriction. Unruptured aneurysms have been reported in some cases with RCVS. We describe a severe case of a 50-year-old woman with RCVS presenting as cortical subarachnoid hemorrhage. Cerebral angiogram demonstrated the typical angiographic findings of RCVS and two very small unruptured aneurysms of the left internal carotid artery. The patient was treated with calcium channel blockers and the two aneurysms were successfully treated endovascularly. On day 16 the patient developed new focal neurological symptoms (severe paraparesis) and was successfully treated with intraarterial nimodipine and angioplasty in multiple sessions.
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Hemorrhagic Manifestations of Reversible Cerebral Vasoconstriction Syndrome
Anne Ducros, U. Fiedler, Raphaël Porcher et al. · Stroke · 2010 · 372 citations · Full text
Recurrent primary thunderclap headache and benign CNS angiopathy
Shih‐Pin Chen, Jong‐Ling Fuh, Jiing‐Feng Lirng et al. · Neurology · 2006 · 238 citations