J Korean Neurol Assoc.  2019 Feb;37(1):59-61. 10.17340/jkna.2019.1.10.

Reversible Cerebral Vasoconstriction Syndrome Misdiagnosed as Moyamoya Disease with Transient Ischemic Attack as Initial Manifestation

Affiliations
  • 1Department of Neurology, Eulji University School of Medicine, Daejeon, Korea. sjoolee@eulji.ac.kr

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is a disease characterized by reversible and multiple stenoses of cerebral blood vessels that improve within 3 months, accompanied by thunderclap headache. Here, we report an interesting case of RCVS initially misdiagnosed as Moyamoya disease with transient ischemic attack. A 45-year-old woman visited the Neurology Department of Eulji University Hospital. The patient was initially diagnosed with Moyamoya disease with transient ischemic attack. However, follow-up magnetic resonance angiography performed 12 months after the patient was appropriately diagnosed as having RCVS.

Keyword

Reversible cerebral vasoconstriction syndrome; Moyamoya disease; Transient ischemic attack

MeSH Terms

Blood Vessels
Constriction, Pathologic
Female
Follow-Up Studies
Headache Disorders, Primary
Humans
Ischemic Attack, Transient*
Magnetic Resonance Angiography
Middle Aged
Moyamoya Disease*
Neurology
Vasoconstriction*
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