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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

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Published on: July 21, 2013

Reversible Cerebral Vasoconstriction Syndrome.

Makarand Kulkarni¹, Vinay Chauhan², Sudheer Shetty³

¹Consultant Radiologist.

The Journal of the Association of Physicians of India

|October 15, 2016

Summary

Reversible cerebral vasoconstriction syndrome (RCVS) caused severe headaches and brain infarcts in a middle-aged woman. Fortunately, the dangerous vasospasm resolved within three months.

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Area of Science:

Neurology
Vascular Neurology
Neuroimaging

Background:

Reversible cerebral vasoconstriction syndrome (RCVS) presents with thunderclap headaches and reversible arterial narrowing.
RCVS affects the circle of Willis and extracranial arteries.

Observation:

A middle-aged female experienced severe headache.
She presented with vasospasm in vertebral arteries and circle of Willis vessels.
This led to multiple cerebral infarcts.

Findings:

The patient's RCVS demonstrated significant vasospasm.
Cerebral infarcts occurred secondary to the vasospasm.
Spontaneous resolution of vasospasm was observed within three months.

Implications:

This case highlights RCVS as a cause of severe headache and ischemic stroke.
Early diagnosis and monitoring are crucial for managing RCVS.
Understanding RCVS natural history aids in predicting patient outcomes.