J Korean Soc Radiol.  2020 Sep;81(5):1239-1245. 10.3348/jksr.2019.0144.

Reversible Cerebral Vasoconstriction Syndrome Presenting as Transient Vessel Wall Enhancement on Contrast-Enhanced Fluid-Attenuated Inversion Recovery Images: A Case Report and Literature Review

• Heo SA
• Kim ES
• Lee Y

• KMID: 2507442
• DOI: http://doi.org/10.3348/jksr.2019.0144

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical and radiological syndrome with primary features that include hyperacute onset of severe headache and segmental vasoconstriction of the cerebral arteries, which resolve within 3 months. Vessel wall enhancement has been reported in some cases of RCVS; however, its pathophysiological and diagnostic implications remain unclear. We review a case of RCVS in a patient with transient vessel wall enhancement on contrast-enhanced fluid-attenuated inversion recovery images, focusing on the pathophysiological and diagnostic implications.

Keyword

Vasoconstriction; Cerebrovascular Disease; Magnetic Resonance Imaging; Brain; Headache