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Long-Term Outcomes After Reversible Cerebral Vasoconstriction Syndrome.

Rosalie Boitet1, Solène de Gaalon2, Claire Duflos3

  • 1From the Neurology Department (R.B., A.D.), Montpellier University Hospital, France.

Stroke
|December 18, 2019
PubMed
Summary
This summary is machine-generated.

Long-term outcomes for reversible cerebral vasoconstriction syndrome (RCVS) are excellent, with a low recurrence rate. Migraine history and exercise-triggered headaches predict relapse in RCVS patients.

Keywords:
cerebral arteriesheadachepregnancyrecurrencevasoconstriction

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Area of Science:

  • Neurology
  • Neuroscience
  • Clinical Medicine

Background:

  • Reversible cerebral vasoconstriction syndrome (RCVS) is a condition characterized by temporary narrowing of brain arteries.
  • Understanding the long-term prognosis and recurrence patterns of RCVS is crucial for patient management.

Purpose of the Study:

  • To investigate the long-term outcomes and recurrence rates in patients diagnosed with reversible cerebral vasoconstriction syndrome (RCVS).
  • To identify predictors of relapse in RCVS.
  • To determine the incidence of postpartum RCVS.

Main Methods:

  • A longitudinal follow-up study was conducted.
  • 173 patients diagnosed with RCVS were included in the study.
  • Patients were followed for a mean duration of 9.2 years.

Main Results:

  • 10 out of 172 patients experienced recurrent RCVS, all of which were benign.
  • Independent predictors for RCVS relapse included a history of migraine and exercise-induced thunderclap headaches during the initial RCVS episode.
  • The rate of postpartum RCVS was observed to be 9% after new delivery.

Conclusions:

  • The long-term outcome for patients with reversible cerebral vasoconstriction syndrome (RCVS) is generally excellent.
  • Identifying triggers and patient history can aid in predicting RCVS recurrence.
  • Postpartum RCVS occurs in a notable percentage of women.