J Korean Soc Emerg Med.  2018 Feb;29(1):105-109. 10.0000/jksem.2018.29.1.105.

A Case Report Reversible Cerebral Vasoconstriction Syndrome with Thunderclap Headache During Swimming

• Oh SK
• Yoo BD
• Jun DH
• Lee DH
• Kim KH

• KMID: 2435574
• DOI: http://doi.org/10.0000/jksem.2018.29.1.105

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by severe thunderclap headache with multifocal segmental vasoconstriction of the cerebral arteries. RCVS can be diagnosed if the cerebral angiogram shows segmental stenosis and spontaneously resolves within weeks to months. RCVS is reversible, but might cause brain lesions such as subarachnoid hemorrhage or cerebral infarction. We report a 45-year-old woman with severe sudden onset frontal headache who was identified with reversible cerebral vasoconstriction syndrome.

Keyword

Headache; Vasoconstriction; Angiography

MeSH Terms

Angiography
Brain
Cerebral Arteries
Cerebral Infarction
Constriction, Pathologic
Female
Headache
Headache Disorders, Primary*
Humans
Middle Aged
Subarachnoid Hemorrhage
Swimming*
Vasoconstriction*