J Clin Neurol.  2019 Oct;15(4):588-590. 10.3988/jcn.2019.15.4.588.

Is the Presence of Headache Indispensable in Diagnosing Reversible Cerebral Vasoconstriction Syndrome?

• Kim BS
• Park YK
• Sunwoo MK
• Yu HJ
• Jeong EH
• Kim DY

• KMID: 2467776
• DOI: http://doi.org/10.3988/jcn.2019.15.4.588

Abstract

No abstract available.

MeSH Terms

Headache*
Vasoconstriction*

Figure

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  Fig. 1 Neuroimaging findings. A: Initial DWI revealed a wedge-shaped acute cerebral infarction in the borderzone region between the left MCA and posterior cerebral artery, and MRA revealed multifocal intracranial stenoses. Perfusion MRI (time-to-peak map) showed multiple areas with perfusion delay that were mainly located in the bilateral borderzone regions. B: DWI on the 2nd day showed a new ischemic stroke in the right ACA territory. There were multifocal stenoses in the bilateral branches of the MCA and ACA, with poststenotic dilatation presenting as a strings-and-beads appearance on conventional cerebral angiography. C: CTA performed 2 weeks after nimodipine treatment showed persistent multifocal intracranial stenoses, which had completely resolved in the 3-month follow-up MRA. ACA: anterior cerebral artery, CTA: computed tomography angiography, DWI: diffusion-weighted imaging, MCA: middle cerebral artery, MRA: magnetic resonance angiography.

Reference

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