J Korean Soc Radiol.
2021 Jan;82(1):261-266. 10.3348/jksr.2020.0024.
High-Resolution Magnetic Resonance Imaging Findings of Reversible Cerebral Vasoconstriction Syndrome associated with Severe Anemia: A Case Report
- Affiliations
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- 1Departments of Radiology, Nowon Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea
- 2Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
- 3Departments of Neurology, Nowon Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea
- KMID: 2512615
- DOI: http://doi.org/10.3348/jksr.2020.0024
Abstract
- Ischemic stroke is one of the manifestations of reversible cerebral vasoconstriction syndrome (RCVS). Many precipitants and associated disorders of RCVS have been suggested. However, few case reports have indicated an association between anemia and RCVS. Here, we report a case of a 66-year-old female with severe iron deficiency anemia (IDA), who presented with ischemic stroke and cerebral vasoconstriction, which gradually improved with conservative treatment. High-resolution vessel wall magnetic resonance imaging findings and reversibility suggested the possibility of RCVS. In patients with RCVS and ischemic stroke, IDA should be considered. Prompt management should be delivered to prevent disease progression and recurrence.
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