Neurological Surgery No Shinkei Geka Volume 42, Issue 2 (February 2014)

Reversible Cerebral Vasoconstriction Syndrome Associated with Stroke: Three Case Reports Yukitomo ISHI 1 , Taku SUGIYAMA 1 , Sumire ECHIZENYA 1 , Yuka YOKOYAMA 1 , Katsuyuki ASAOKA 1 , Koji ITAMOTO 1 1Department of Neurosurgery, Teine Keijinkai Hospital Keyword: reversible cerebral vasoconstriction syndrome , stroke , cerebral infarction , intracerebral hemorrhage , subarachnoid hemorrhage pp.129-136
Published Date 2014/2/10
  • Abstract
  • Look Inside
  • Reference

 Reversible cerebral vasoconstriction syndrome(RCVS)is characterized by severe headache and diffuse segmental constriction of cerebral arteries that resolves spontaneously within a few months. Although manifestations of stroke are not included in diagnostic criteria of RCVS, it is known that some cases may be associated with stroke, including intracerebral hemorrhage, subarachnoid hemorrhage, or cerebral infarction. We present three cases of RCVS associated with various types of stroke, and then review the literature. Case 1:A 49-year-old woman presented with a headache followed by left hemiparesis and dysarthria. One month before the onset, she was transfused for severe anemia caused by uterus myoma. CT images revealed intracerebral hemorrhages in the right putamen and right occipital lobe. Angiography revealed multiple segmental constrictions of the cerebral arteries. One month after the onset, these vasoconstrictions improved spontaneously. Case 2:A postpartum 38-year-old woman who had a history of migraine presented with thunderclap headache. Imaging revealed a focal subarachnoid hemorrhage in the right postcentral sulcus and segmental vasoconstriction of the right middle cerebral artery. One week after the onset, this vasoconstriction improved spontaneously. Case 3:A 32-year-old woman who had a history of migraine presented with headache followed by left homonymous hemianopsia. Imaging revealed a cerebral infarction of the right occipital lobe and multiple constrictions of the right posterior cerebral artery. These vasoconstrictions gradually improved spontaneously.

Copyright © 2014, Igaku-Shoin Ltd. All rights reserved.


Neurological Surgery 脳神経外科
42巻2号 (2014年2月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院