Dramatic Intracerebral Hemorrhagic Presentations of Reversible Cerebral Vasoconstriction Syndrome : Three Cases and a Literature Review
Joint Authors
Wang, Bonnie H.
Moon, Seong-Jin
Stary, Joel M.
Wang, Huan
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-12
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Reversible cerebral vasoconstriction syndrome (RCVS) refers to a number of disorders characterized by severe and sudden-onset (“thunderclap”) headaches and angiographic features of reversible, segmental, multifocal vasoconstriction of cerebral arteries.
Although RCVS generally resolves without significant sequelae, a rare and possibly underrecognized hemorrhagic presentation has a worse potential course.
We report three cases of hemorrhagic RCVS and review the literature.
Three females (42, 54, and 33 years old, resp.) presented with severe headache, neurological deficits, and dramatic intracerebral hemorrhage (ICH).
Patient 1 presented comatose with a 9 × 4 × 6.6 cm left deep intraparenchymal hemorrhage (IPH) and 1 cm midline shift.
She underwent emergent surgical intervention.
Patient 2 had a 3.3 × 1.5 cm left superior frontal IPH that enlarged to 4 × 2.5 cm within 12 hours with worsening headache and neurological deficits.
She was successfully managed nonoperatively.
Patient 3, after uncomplicated pregnancy and delivery, presented with a 1.5 cm left superior parietal IPH on postpartum day 7.
Two days later, she acutely developed right hemiplegia.
Repeat CT demonstrated a new 3.3 × 1.7 cm left frontal IPH.
She was also successfully managed nonoperatively.
Many diverse conditions are grouped within the category of RCVS.
Dramatic ICH remains a rare and possibly underrecognized presenting feature.
Prompt diagnosis and management are essential for obtaining the best outcome.
American Psychological Association (APA)
Stary, Joel M.& Wang, Bonnie H.& Moon, Seong-Jin& Wang, Huan. 2014. Dramatic Intracerebral Hemorrhagic Presentations of Reversible Cerebral Vasoconstriction Syndrome : Three Cases and a Literature Review. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-497574
Modern Language Association (MLA)
Stary, Joel M.…[et al.]. Dramatic Intracerebral Hemorrhagic Presentations of Reversible Cerebral Vasoconstriction Syndrome : Three Cases and a Literature Review. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-497574
American Medical Association (AMA)
Stary, Joel M.& Wang, Bonnie H.& Moon, Seong-Jin& Wang, Huan. Dramatic Intracerebral Hemorrhagic Presentations of Reversible Cerebral Vasoconstriction Syndrome : Three Cases and a Literature Review. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-497574
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497574