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Possible Reversible Cerebral Vasoconstriction Syndrome Associated with Eucalyptus: Case Report
Daniel Lapid1, Mohtashim Arbaab Qureshi1, Ihtesham Aatif Quresh1
1Texas Tech University of Health Sciences Center, El Paso, TX, USA.
Journal of Vascular and Interventional Neurology
|November 23, 2017
Summary
Reversible cerebral vasoconstrictive syndrome (RCVS) may be triggered by eucalyptus herb use. This case highlights a potential link between herbal remedies and RCVS, emphasizing the need for careful patient history.
Area of Science:
- Neurology
- Toxicology
- Pharmacology
Background:
- Reversible cerebral vasoconstrictive syndrome (RCVS) presents with distinct clinical, brain imaging, and angiographic features.
- RCVS is commonly linked to antidepressants, polysubstance abuse, and nasal decongestants.
- This case report investigates eucalyptus herb use as a potential precipitating factor for RCVS.
Purpose of the Study:
- To present a case of RCVS potentially induced by eucalyptus herb inhalation.
- To explore the possible role of herbal remedies in RCVS pathogenesis.
Main Methods:
- A 42-year-old woman presented with symptoms of RCVS, including severe headache and neurological deficits.
- Patient history revealed recent inhalation of eucalyptus vapors for sinus congestion.
- Diagnostic workup confirmed findings consistent with RCVS, including subarachnoid hemorrhage.
Main Results:
- The patient's presentation and imaging were consistent with RCVS.
- Eucalyptus herb use was identified as a potential trigger in this case.
- The findings suggest a possible association between eucalyptus and RCVS.
Conclusions:
- Eucalyptus, through its potential serotonergic activity, may contribute to RCVS.
- Herbal remedies like eucalyptus could precipitate serotonergic symptoms and cerebral vasoconstriction.
- Awareness of eucalyptus's potential role is crucial for diagnosing and managing RCVS patients.
