Reversible Cerebral Vasoconstriction is a syndrome that debuts as an episode of intense headache secondary to a diffuse vasoconstriction of multiple segments of the cerebral arteries (1). Ten days later, a follow up MRI was performed, showing an acute infarction of a small segment of the left occipital lobe, which is characterised by hyperintensity on DWI and T2-weighted images (Fig. PURPOSE: Medically refractory reversible cerebral vasoconstriction syndrome (RCVS), a rare variant of RCVS, poses a significant therapeutic challenge. 2010 Oct;8(10):1417-21. doi: 10.1586/erc.10.124. Reversible cerebral vasoconstriction syndromes presenting with subarachnoid hemorrhage: a case series. [Reversible cerebral vasoconstriction syndrome].  |  Six months later, a follow-up DSA showed a normalisation of the calibre of the vessels and of the contours of both carotid arteries (Fig. NIH Epub 2011 Feb 4. Quantifying Intra-Arterial Verapamil Response as a Diagnostic Tool for Reversible Cerebral Vasoconstriction Syndrome. 2 weeks of recurrent severe headache now with perisistent lower limb weakness and numbness (left greater than right). AJNR Am J Neuroradiol 36:1392-1399 (PMID: 25593203), [3] Check for errors and try again. Epub 2016 May 1. AJNR Am J Neuroradiol 36:1580-8 (PMID: 25614476), [6] Complete resolution of vascular narrowing. Clipboard, Search History, and several other advanced features are temporarily unavailable. Ducros A. Newer imaging techniques, including high-resolution vessel wall imaging, may help in the future to better discriminate reversible cerebral vasoconstriction syndrome from primary angiitis of the CNS, an important clinical distinction. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Reversible Cerebral Vasoconstriction Syndrome Reversible cerebral vasoconstriction syndrome (RCVS) is a rare but increasingly recognized disorder with over 500 cases published in the literature. USA.gov. (2012) Multimodal imaging of reversible cerebral vasoconstriction syndrome: a series of 6 cases. This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. 2020 Oct 13;10:62. doi: 10.25259/JCIS_91_2020. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Expert Rev Cardiovasc Ther 8(10):1417-1421 (PMID: 20936928), [2] Sattar A, Manousakis G, Jensen MB. Reversible cerebral vasoconstriction syndrome. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Reversible cerebral vasoconstriction syndrome associated with subarachnoid hemorrhage. Radiologist,Fellow in Pediatric Imaging (2019/20), Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Epub 2020 Sep 17. The condition is characterized by recurrent severe thunderclap headaches with or without other neurological symptoms and diffuse segmental narrowing of the cerebral arteries which is reversible within 3 months. T2/FLAIR coronal image showed a subarachnoid haemorrhage associated to a frontal parenchymal haematoma, characterised by hypointense signal, surrounded by hyperintense vasogenic oedema. eCollection 2020 Jun. She had a personal history of recurrent migraines, hypertension and smoking. Epub 2014 Apr 10. No ilicit drug use. Hospital Universitario y Politécnico La Fe. Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D. (2015) Reversible Cerebral Vasoconstriction Syndrome, Part 2: Diagnostic Work-Up, Imaging Evaluation, and Differential Diagnosis. Reversible cerebral vasoconstriction syndrome - A narrative revision of the literature. Fear the reaper: reversible cerebrovascular vasoconstriction syndrome after hot pepper ingestion. Noninvasive vascular imaging, including transcranial Doppler sonography and MR angiography, has played an increasingly important role in this regard, though conventional angiography remains the criterion standard for the evaluation of cerebral artery vasoconstriction. ACIM, Hospital Universitario y Politécnico la Fe, Valencia, Spain. AJNR Am J Neuroradiol. Sequeiros JM, Roa JA, Sabotin RP, Dandapat S, Ortega-Gutierrez S, Leira EC, Derdeyn CP, Bathla G, Hasan DM, Samaniego EA. The diagnostic evaluation of a patient with reversible cerebral vasoconstriction syndrome integrates clinical, laboratory, and radiologic findings. HHS Fukaguchi K, Goto T, Fukui H, Sekine I, Yamagami H. Acute Med Surg. AJNR Am J Neuroradiol 33 (7): 1403-10 (PMID: 22422190), [7] eCollection 2020 Jan-Dec. Radiol Case Rep. 2020 Apr 5;15(6):641-643. doi: 10.1016/j.radcr.2020.02.025. A 60-year-old female patient presented with an episode of intense headache. (2012) Reversible cerebral vasoconstriction syndrome. Lancet Neurol 11(10):906-917 (PMID: 22995694), [4] Laakso E, Pekkola J, Soinne L, Putaala J. J Clin Imaging Sci. T2*-weighted axial image showed a subarachnoid haemorrhage associated to a frontal parenchymal haematoma, characterised by hypointense signal.