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Reversible Cerebral Vasoconstriction Syndrome With Involvement of External Carotid Artery Branches

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Reversible Cerebral Vasoconstriction Syndrome With Involvement of External Carotid Artery Branches. / Shaik, S.; Chhetri, S. K.; Roberts, G.; Wuppalapati, S.; Emsley, H. C. A.

In: The Neurohospitalist, Vol. 4, No. 3, 01.07.2014, p. 141-143.

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Shaik, S, Chhetri, SK, Roberts, G, Wuppalapati, S & Emsley, HCA 2014, 'Reversible Cerebral Vasoconstriction Syndrome With Involvement of External Carotid Artery Branches', The Neurohospitalist, vol. 4, no. 3, pp. 141-143. https://doi.org/10.1177/1941874413518639

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Shaik, S. ; Chhetri, S. K. ; Roberts, G. ; Wuppalapati, S. ; Emsley, H. C. A. / Reversible Cerebral Vasoconstriction Syndrome With Involvement of External Carotid Artery Branches. In: The Neurohospitalist. 2014 ; Vol. 4, No. 3. pp. 141-143.

Bibtex

@article{0a5c86c08612404cb20b5cd5fc35831f,
title = "Reversible Cerebral Vasoconstriction Syndrome With Involvement of External Carotid Artery Branches",
abstract = "A 44-year-old woman presented with recurrent episodes of thunderclap headache. Neurological examination and computed tomography brain imaging were unremarkable. Cerebrospinal fluid findings were consistent with subarachnoid hemorrhage. Computed tomography angiography of the circle of Willis showed multiple areas of segmental vasoconstriction. This finding was confirmed on cerebral catheter angiography, with segmental vasoconstriction involving bilateral internal carotid, posterior cerebral, and external carotid branches. No aneurysm or other vascular abnormality was identified. She received treatment with nimodipine. A selective serotonin reuptake inhibitor, started 4 weeks earlier, was discontinued. Follow-up angiography after 3 months demonstrated complete resolution of the segmental vasoconstriction, confirming the diagnosis of reversible cerebral vasoconstriction syndrome (RCVS). She remained headache free at follow-up. To our knowledge, external carotid artery branch involvement in RCVS has been described only in one previous occasion.",
keywords = "clinical specialty, disorders, headache, headache disorders, imaging, secondary, stroke and cerebrovascular disease, techniques",
author = "S. Shaik and Chhetri, {S. K.} and G. Roberts and S. Wuppalapati and Emsley, {H. C. A.}",
year = "2014",
month = jul,
day = "1",
doi = "10.1177/1941874413518639",
language = "English",
volume = "4",
pages = "141--143",
journal = "The Neurohospitalist",
issn = "1941-8744",
publisher = "SAGE Publications",
number = "3",

}

RIS

TY - JOUR

T1 - Reversible Cerebral Vasoconstriction Syndrome With Involvement of External Carotid Artery Branches

AU - Shaik, S.

AU - Chhetri, S. K.

AU - Roberts, G.

AU - Wuppalapati, S.

AU - Emsley, H. C. A.

PY - 2014/7/1

Y1 - 2014/7/1

N2 - A 44-year-old woman presented with recurrent episodes of thunderclap headache. Neurological examination and computed tomography brain imaging were unremarkable. Cerebrospinal fluid findings were consistent with subarachnoid hemorrhage. Computed tomography angiography of the circle of Willis showed multiple areas of segmental vasoconstriction. This finding was confirmed on cerebral catheter angiography, with segmental vasoconstriction involving bilateral internal carotid, posterior cerebral, and external carotid branches. No aneurysm or other vascular abnormality was identified. She received treatment with nimodipine. A selective serotonin reuptake inhibitor, started 4 weeks earlier, was discontinued. Follow-up angiography after 3 months demonstrated complete resolution of the segmental vasoconstriction, confirming the diagnosis of reversible cerebral vasoconstriction syndrome (RCVS). She remained headache free at follow-up. To our knowledge, external carotid artery branch involvement in RCVS has been described only in one previous occasion.

AB - A 44-year-old woman presented with recurrent episodes of thunderclap headache. Neurological examination and computed tomography brain imaging were unremarkable. Cerebrospinal fluid findings were consistent with subarachnoid hemorrhage. Computed tomography angiography of the circle of Willis showed multiple areas of segmental vasoconstriction. This finding was confirmed on cerebral catheter angiography, with segmental vasoconstriction involving bilateral internal carotid, posterior cerebral, and external carotid branches. No aneurysm or other vascular abnormality was identified. She received treatment with nimodipine. A selective serotonin reuptake inhibitor, started 4 weeks earlier, was discontinued. Follow-up angiography after 3 months demonstrated complete resolution of the segmental vasoconstriction, confirming the diagnosis of reversible cerebral vasoconstriction syndrome (RCVS). She remained headache free at follow-up. To our knowledge, external carotid artery branch involvement in RCVS has been described only in one previous occasion.

KW - clinical specialty

KW - disorders

KW - headache

KW - headache disorders

KW - imaging

KW - secondary

KW - stroke and cerebrovascular disease

KW - techniques

U2 - 10.1177/1941874413518639

DO - 10.1177/1941874413518639

M3 - Journal article

AN - SCOPUS:84992805627

VL - 4

SP - 141

EP - 143

JO - The Neurohospitalist

JF - The Neurohospitalist

SN - 1941-8744

IS - 3

ER -