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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR 2024; 08(03): 168-172
DOI: 10.1055/s-0044-1786191
Case Report

Reversible Cerebral Vasoconstriction Syndrome with Subarachnoid Hemorrhage and Stroke

Bheru Dan Charan
1   Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Shailesh B. Gaikwad
1   Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Leve Joseph Devarajan Sebastian
1   Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Savyasachi Jain
1   Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Ajay Garg
1   Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Nikhila Reddy
1   Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
› Author Affiliations Funding None.
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Abstract

Reversible cerebral vasoconstriction syndrome is a complex condition characterized by temporary constriction of the brain's arteries. Diagnosis typically involves a retrospective approach, necessitating repeated imaging to confirm the resolution of cerebral arterial spasms. We describe a case of a 22-year-old female with a history of posterior circulation stroke and recurrent thunderclap headaches. On imaging, evidence of stroke, convexity subarachnoid hemorrhage, and multiple areas of stenosis and dilatation in the posterior circulation associated with normal laboratory parameters were found. The resolution of clinical symptoms and angiographic findings were noted in the follow-up. After other diagnoses are excluded, patients can be reassured about favorable prognosis.

Keywords

subarachnoid hemorrhage - cerebral vasoconstriction - thunderclap headache


Publication History

Article published online:
11 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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