Volume 3, Issue 3, September 2019, Page: 69-73
Intracerebral Hemorrhages Secondary to Reversible Cerebral Vasoconstriction Syndrome: Case Report and Literature Review
François Dantas, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil; Faculdade de Ciências Médicas de Minas Gerais (FELUMA), Belo Horizonte, Minas Gerais, Brazil
Eustáquio Claret dos Santos Júnior, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil; Faculdade de Ciências Médicas de Minas Gerais (FELUMA), Belo Horizonte, Minas Gerais, Brazil
Tiago Silva e Carvalho, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil
Róberti Uili Rodrigues Firmino, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil
Rômulo Tscherbakowski Nunes de Guimarães Mourão, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil; Faculdade de Ciências Médicas de Minas Gerais (FELUMA), Belo Horizonte, Minas Gerais, Brazil
Mariana Couy Fonseca, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil
Fernando Luiz Rolemberg Dantas, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil; Postgraduation in Health Sciences, Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), São Paulo, Brazil
Ricardo Vieira Botelho, Postgraduation in Health Sciences, Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), São Paulo, Brazil
Rogério Zenóbio Darwich, Neurology and Interventionist Neuroradiology Department, Biocor Institute, Minas Gerais, Brazil
Received: Jun. 10, 2019;       Accepted: Jul. 22, 2019;       Published: Aug. 12, 2019
DOI: 10.11648/j.cnn.20190303.13      View  137      Downloads  22
Abstract
Reversible cerebral vasoconstriction syndrome is an unusual entity, characterized by recurrent thunderclap headache and segmental narrowing of the cerebral arteries, typically with remission within three months. It has been described since the 1960s with several names, including Call-Fleming syndrome. More than 500 cases have been described in the literature, yet the pathophysiology remains not well understood. Ischemic or hemorrhagic strokes are the major possible complications of the syndrome, leading to permanent neurological deficits or death in a small percentage of patients. We report a case of a 48-year-old female patient without known risk factors that presented two foci of intracerebral hemorrhages, with hemiparesis ipsilateral to the biggest intracerebral lesion. Magnetic resonance imaging tractography revealed normal pyramidal decussation, and the patient evolved with completely recover of the neurological deficit within a week. The authors believe that in the present case neurological deficit may be related to contralateral narrowing of the cerebral arteries and diffuse impairment of the central nervous system instead of intracerebral hemorrhage itself. RCVS is a rare condition that should be considered in patients with recurrent thunderclap type headache. Further prospective and randomized studies are still necessary to improve the management and treatment of patients with the syndrome.
Keywords
Reversible Cerebral Vasoconstriction, Intracerebral Hemorrhages, Thunderclap Headache
To cite this article
François Dantas, Eustáquio Claret dos Santos Júnior, Tiago Silva e Carvalho, Róberti Uili Rodrigues Firmino, Rômulo Tscherbakowski Nunes de Guimarães Mourão, Mariana Couy Fonseca, Fernando Luiz Rolemberg Dantas, Ricardo Vieira Botelho, Rogério Zenóbio Darwich, Intracerebral Hemorrhages Secondary to Reversible Cerebral Vasoconstriction Syndrome: Case Report and Literature Review, Clinical Neurology and Neuroscience. Vol. 3, No. 3, 2019, pp. 69-73. doi: 10.11648/j.cnn.20190303.13
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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