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Call-Fleming syndrome.

Avni Kalangott Padmanabhan Skandhan1, Kollengode Gopalakrishnan Ramakrishnan2, Rajeev Anand2

  • 1Department of Radiology, MIMS Kotakkal, Malappuram, Kerala, India.

The Indian Journal of Radiology & Imaging
|December 19, 2013
PubMed
Summary
This summary is machine-generated.

Call-Fleming syndrome, a type of reversible cerebral vasoconstriction syndrome (RCVS), presents as sudden, severe thunderclap headaches due to cerebral artery spasms. It is a reversible condition, unlike SAH or vasculitis.

Keywords:
Call–Fleming syndromereversible cerebral vasoconstriction syndrome RCVSvasospasm

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Area of Science:

  • Neurology
  • Vascular Neurology

Background:

  • Call-Fleming syndrome is classified under reversible cerebral vasoconstriction syndrome (RCVS).
  • It is typically considered idiopathic, meaning its origin is unknown.

Observation:

  • The syndrome classically involves multisegmental, focal vasospasms in cerebral arteries.
  • Clinical presentation includes sudden-onset severe headache, often described as thunderclap headache.
  • Neurological deficits may or may not be present.

Findings:

  • Call-Fleming syndrome is characterized by reversible cerebral artery vasospasms.
  • It is a distinct entity within the RCVS group.

Implications:

  • Recognizing Call-Fleming syndrome is crucial as it is a potentially reversible cause of thunderclap headaches.
  • Distinguishing it from conditions like aneurysmal subarachnoid hemorrhage (SAH) and vasculitis is vital for appropriate management.