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Spinal cord reversible cerebral vasoconstriction syndrome.
Hibba Erum Arif1, Aisha Masoom1, Abdul Rub Hakim Mohammed2
1Division of Neurology, Baylor University Medical Center, Dallas, TX, USA.
Proceedings (Baylor University. Medical Center)
|August 18, 2025
Summary
Reversible cerebral vasoconstriction syndrome (RCVS) can cause brain infarcts. This case report details RCVS affecting the spinal cord, a previously undescribed occurrence.
Area of Science:
- Neurology
- Vascular Neurology
- Neurocritical Care
Background:
- Reversible cerebral vasoconstriction syndrome (RCVS) is a condition characterized by temporary narrowing of brain arteries.
- It is typically associated with severe headaches and can lead to ischemic or hemorrhagic stroke.
- The exact pathophysiology and full spectrum of RCVS manifestations are still under investigation.
Observation:
- A 19-year-old woman presented with symptoms indicative of RCVS.
- Imaging revealed infarcts predominantly in the posterior circulation of the brain.
- Notably, a high cervical spinal cord infarct was also identified in this patient.
Findings:
- This case represents the first documented instance of RCVS involving the spinal cord.
- The spinal cord infarct occurred alongside typical cerebral infarcts in the posterior circulation.
- The patient's condition and neurological deficits were reversible, consistent with the transient nature of RCVS.
Implications:
- The findings expand the known clinical spectrum of reversible cerebral vasoconstriction syndrome.
- This case highlights the potential for RCVS to affect the central nervous system beyond the brain, including the spinal cord.
- Further research is warranted to understand the mechanisms and clinical significance of spinal cord involvement in RCVS.
