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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
Summary
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.
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.
