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A Case of Juvenile Cerebral Infarction due to Reversible Cerebral Vasoconstriction Syndrome Masaki KOH 1 , Yoshifumi TSUBOI 1 , Osamu FUKUDA 1 1Department of Neurosurgery, Saito Memorial Hospital Keyword: reversible cerebral vasoconstriction syndrome , juvenile cerebral vascular disease , arterial dissection pp.965-969
Published Date 2016/11/10
DOI https://doi.org/10.11477/mf.1436203409
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 A 19-year-old woman had a thunderclap headache, followed by left hemiparesis and left homonymous hemianopsia. Laboratory tests showed no signs of infection and immunological test results were unremarkable. MRI revealed a cerebral infarction in the right posterior cerebral artery territory, and digital subtraction angiography(DSA)showed right posterior cerebral artery stenosis on day 2. The first follow-up DSA demonstrated an irregular, bead-like appearance on day 9, but the stenotic lesion returned to normal on day 21.

 Reversible cerebral vasoconstriction syndrome should be suspected in cases of rapid resolution of symptoms.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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