Recurrence of reversible cerebral vasoconstriction syndrome

@article{Chen2015RecurrenceOR,
  title={Recurrence of reversible cerebral vasoconstriction syndrome},
  author={Shih-Pin Chen and Jong-Ling Fuh and Jiing-Feng Lirng and Yen-Feng Wang and Shuu-Jiun Wang},
  journal={Neurology},
  year={2015},
  volume={84},
  pages={1552 - 1558}
}
OBJECTIVE We aimed to investigate whether reversible cerebral vasoconstriction syndrome (RCVS) could recur and to identify the potential predictors of recurrence in a large cohort of patients. [] Key Method All patients were regularly followed up by telephone after remission for RCVS and were particularly asked to return to our hospital immediately if they developed new acute, severe (i.e., thunderclap-like) headaches.
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Post-reversible cerebral vasoconstriction syndrome headache
TLDR
Post-RCVS headache is common, affecting half of patients and being disabling in one-tenth of patients, and higher anxiety level and migraine history are risk factors.
Long-Term Outcomes After Reversible Cerebral Vasoconstriction Syndrome
TLDR
Overall, long-term outcome after RCVS is excellent, and independent predictors of relapse were having a history of migraine and having exercise as a trigger for thunderclap headache during initial RCVS.
Reversible cerebral vasoconstriction syndrome (RCVS): an interesting case report
TLDR
Often underdiagnosed, pheochromocytoma could be an important condition associated with RCVS and it is important for clinicians to bear this diagnosis in mind while dealing with similar cases of recurrent thunderclap headaches.
Primary angiitis of the CNS and reversible cerebral vasoconstriction syndrome
TLDR
This study confirms that careful analysis of clinical context, headache features, and patterns of brain lesions can distinguish PACNS and RCVS within the first few days of admission in most cases.
Narrative Review: Headaches After Reversible Cerebral Vasoconstriction Syndrome
TLDR
Recurrence of thunderclap headaches or chronic headaches after RCVS is common in RCVS patients after the resolution of acute bouts, and several retrospective studies and case reports reported that chronic headaches are common.
Thunderclap headache and reversible cerebral vasoconstriction syndrome: Current theory and accumulated data
TLDR
Although prescription of triptans for migraine is not suitable for patients with a history of RCVS, lasmiditan, a highly selective 5‐HT1F receptor agonist, may be suitable in such cases, with prescription of bed rest, analgesics, and the removal of precipitating factors.
Current Treatment Options in Cardiovascular Medicine: Update on Reversible Cerebral Vasoconstriction Syndrome
TLDR
RCVS can now be accurately diagnosed using clinical and imaging features available upon presentation, and the recently developed “RCVS2 score” enables accurate bedside diagnosis with up to 99% specificity and 90% sensitivity, obviating the need for invasive tests to exclude mimics or confirm the diagnosis.
Reversible Cerebral Vasoconstriction Syndrome: Recognition and Treatment
TLDR
The cornerstone of RCVS management remains largely supportive with bed rest and analgesics and removal of precipitating factors and Invasive neurointerventional techniques should be reserved for severe deteriorating cases.
Glucocorticoid-associated worsening in reversible cerebral vasoconstriction syndrome
TLDR
Patients with RCVS at risk for worsening can be identified on basis of baseline features, and Iatrogenic factors such as glucocorticoid exposure may contribute to worsening.
Anesthetic Management of Reversible Cerebral Vasoconstriction Syndrome: A Case Report.
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References

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TLDR
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