Intra-Arterial Milrinone for Reversible Cerebral Vasoconstriction Syndrome

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Reversible cerebral vasoconstriction syndrome.

Reversible cerebral vasoconstriction syndrome (RCVS) is an under-recognised condition. It is characterised by sudden and severe headaches (of "thunderclap" type) associated with multifocal reversible narrowing of the intracranial arteries on neuroradiology. The diagnosis is often established with the resolution of headaches and vasoconstriction. We report two patients with RCVS and review the a...

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Reversible cerebral vasoconstriction syndrome.

Reversible cerebral vasoconstriction syndromes (RCVS) are a group of disorders that have in common an acute presentation with headache, reversible vasoconstriction of cerebral arteries, with or without neurological signs and symptoms. In contrast to primary central nervous system vasculitis, they have a relatively benign course. We describe here a patient who was diagnosed with RCVS.

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Reversible cerebral vasoconstriction syndrome.

BACKGROUND Reversible cerebral vasoconstriction syndrome is characterized by thunderclap headache associated with multifocal vasoconstriction of cerebral arteries in patients without aneurysmal subarachnoid hemorrhage (SAH). The vasoconstriction reverts within three months. We report a 44-year-old man who had a thunderclap headache during sexual intercourse. A similar episode occurred at rest 3...

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Reversible cerebral vasoconstriction syndrome: treatment with combined intra-arterial verapamil infusion and intracranial angioplasty.

We report a case of severe RCVS treated with a combination of selective intra-arterial verapamil infusions and intracranial angioplasty, resulting in angiographic and clinical improvement. Endovascular techniques more commonly used in the treatment of SAH-induced vasospasm are potentially important adjuncts to systemic drug therapy in the management of severe RCVS.

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Hemorrhagic Reversible Cerebral Vasoconstriction Syndrome

The reversible cerebral vasoconstriction syndrome (RCVS) is well characterized as a group of conditions typically heralded by severe thunderclap headaches (TCH) associated with reversible segmental multifocal cerebral artery vasoconstriction. Approximately one third to half develop intracerebral hemorrhage (ICH), convexal subarachnoid hemorrhage (cSAH), ischemic stroke, and reversible brain ede...

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ژورنال

عنوان ژورنال: Headache: The Journal of Head and Face Pain

سال: 2009

ISSN: 0017-8748,1526-4610

DOI: 10.1111/j.1526-4610.2008.01211.x