Fulminant Reversible Cerebral Vasoconstriction Syndrome: The Other Thunderclap Headache

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Keith A Brown*
James Brady
Ammar Alimam

Abstract

Reversible Cerebral Vasoconstriction Syndrome (RCVS) is a rare neurologic clinical syndrome that is often misdiagnosed. The pathophysiology of RCVS is unknown, but oftentimes presents as a thunderclap headache that is commonly overlooked once cerebral hemorrhage is ruled out of the differential. Typically patients follow a benign course and make a full recovery, however, in a small subset of patients RCVS can result in permanent neurologic damage. We present a patient with an uncommon clinical course of RCVS and identify pitfalls in the diagnostic workup.

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Article Details

Brown, K. A., Brady, J., & Alimam, A. (2020). Fulminant Reversible Cerebral Vasoconstriction Syndrome: The Other Thunderclap Headache. Global Journal of Medical and Clinical Case Reports, 7(2), 117–120. https://doi.org/10.17352/2455-5282.000113
Case Reports

Copyright (c) 2020 Brown KA, et al.

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Ba F, Giuliani F, Camicioli R, Saqqur M (2012) A reversible cerebral vasoconstriction syndrome. BMJ Case Reports. Link: https://bit.ly/39ykTO5

Ji JY, Jung HS, Yoo SH, Son HD, Kim AJ (2019) Reversible cerebral vasoconstriction with thunderclap headache: A case report. Medicine 98. Link: https://bit.ly/3luZWpF

Mijalski C, Dakay K, Miller-Patterson C, Saad A, Silver B, et al. (2016) Magnesium for treatment of reversible cerebral vasoconstriction syndrome: Case series. Neurohospitalist 6: 111-113. Link: https://bit.ly/3luGlpJ

Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D (2015) Reversible cerebral vasoconstriction syndrome, part 1: Epidemiology, pathogenesis, and clinical course. Am J Neuroradiol 36: 1392-1399. Link: https://bit.ly/3qkjSiH

Suchdev K, Norris G, Zak I, Mohamed W, Ibrahim M (2018) Fulminant Reversible Cerebral Vasoconstriction Syndrome. Neurohospitalist 8: NP5-NP8. Link: https://bit.ly/33zXdoY

Topcuoglu MA, McKee KE, Singhal AB (2016) Gender and hormonal influences in reversible cerebral vasoconstriction syndrome. Eur Stroke J 1: 199-204. Link: https://bit.ly/36vGHYI

Rao P, McCollough MF, Stevens J, Edwardson M (2020) Grief-induced reversible cerebral vasoconstriction syndrome (RCVS). BMJ Case Rep 13: e232204. Link: https://bit.ly/2VqqH41

Kato Y, Hayashi T, Mizuno S, Horiuchi Y, Ohira M, et al. (2016) Triptaninduced reversible cerebral vasoconstriction syndrome: Two case reports with a literature review. Intern Med 55: 3525-3528 Link: https://bit.ly/3qmXbub

Santos L, Azevedo E (2016) Reversible cerebral vasoconstriction syndrome - a narrative revision of the literature. Porto Biomed J 1: 65-71. Link: https://bit.ly/2JvhJ33

Pilato F, Distefano M, Calandrelli R (2020) Posterior reversible encephalopathy syndrome and reversible cerebral vasoconstriction syndrome: Clinical and radiological considerations. Front Neurol 11: 34. Link: https://bit.ly/3ofjv79