Fulminant Reversible Cerebral Vasoconstriction Syndrome: The Other Thunderclap Headache
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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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