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Updated: Mar 10, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

Reversible cerebral vasoconstriction syndrome.

Michael Perdices^1,2, Geoffrey Herkes^1,3

¹a Department of Neurology , Royal North Shore Hospital , Sydney , Australia.

Neuropsychological Rehabilitation

|December 6, 2016

Summary

This summary is machine-generated.

Reversible cerebral vasoconstriction syndrome (RCVS) can cause lasting cognitive deficits, even without bleeding. This case highlights potential long-term memory and learning impairments following RCVS.

Keywords:

Angiopathy RCVS neuropsychological impairment

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Area of Science:

Neurology
Neuropsychology

Background:

Reversible cerebral vasoconstriction syndrome (RCVS) is a rare angiopathy causing thunderclap headaches and cerebral artery constriction.
While typically resolving within three months, RCVS can sometimes lead to transient neurological signs or, rarely, hemorrhagic complications.

Observation:

A 36-year-old woman experienced RCVS triggered by Ear, Nose, and Throat surgery.
Her condition resolved quickly with verapamil, with no hemorrhagic events or subsequent radiological abnormalities.

Findings:

Despite radiological resolution, 16 months post-RCVS, the patient exhibited significant deficits in memory, learning, cognitive flexibility, and processing speed.
These persistent neuropsychological impairments were observed despite the absence of hemorrhagic complications during the RCVS episode.

Implications:

This case suggests that persistent cognitive deficits may be an underrecognized feature of RCVS, even in the absence of hemorrhage.
The findings challenge the notion that RCVS-related cognitive impairments are solely transient or linked to hemorrhagic events.
Further research is needed to understand the mechanisms and prevalence of long-term cognitive sequelae in RCVS.