Reversible Cerebral Vasoconstriction Syndrome: a Comprehensive Update

@article{Mehdi2014ReversibleCV,
  title={Reversible Cerebral Vasoconstriction Syndrome: a Comprehensive Update},
  author={Ali A Mehdi and Rula A Hajj-Ali},
  journal={Current Pain and Headache Reports},
  year={2014},
  volume={18},
  pages={1-10}
}
  • A. Mehdi, R. Hajj-Ali
  • Published 20 August 2014
  • Medicine, Psychology
  • Current Pain and Headache Reports
Reversible cerebral vasoconstriction syndrome (RCVS) is a clinico-radiological syndrome characterized by recurrent thunderclap headache, with or without neurologic symptoms, and reversible vasoconstriction of cerebral arteries. RCVS affects patients in various racial and ethnic groups and in all age groups, although most commonly in the fourth decade of life. Many conditions and exposures have been linked to RCVS, including vasoactive drugs and the peripartum period. Disturbance of the cerebral… 
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Citation Type

Reversible Cerebral Vasoconstriction Syndrome: an Update of Recent Research
TLDR
A simple scoring system and newer imaging tools are helpful for the early distinction of RCVS and these approaches may serve increased sensitivity and specificity for the diagnosis and lead to appropriate management in RCVS patients.
Reversible cerebral vasoconstriction syndrome
TLDR
RH’s case was unusual because the “trigger” for RCVS (Ear, Nose and Throat surgery) has not been previously reported, and because despite there being no haemorrhagic complications during the course of RCVS and no subsequent radiological abnormalities, she had significant cognitive impairment.
Síndrome De Vasoconstricción Cerebral Reversible Secundario A Fármacos: Reporte De Caso
TLDR
It is crucial to identify this disorder in order to remove possible causative agents, or avoid potential complications, and at least half of the cases of this syndrome are secondary, especially postpartum and/or exposure to vasoactive substances such as illicit drugs, sympathomimetics and serotonergic drugs.
Fulminant Reversible Cerebral Vasoconstriction Syndrome
TLDR
A 25-year-old female who presented with headaches which were worsening over 1 week and eventually died, illustrates an exceptionally uncommon clinical course of RCVS and the challenges in its treatment.
Reversible cerebral vasoconstriction syndrome: an important and common cause of thunderclap and recurrent headaches.
Reversible cerebral vasoconstriction syndrome in association with fingolimod use
TLDR
Fingolimod has the potential to cause vasoconstriction however appears to be rare and more likely on doses higher than 0.5 mg daily, and should be considered in patients with severe headache on fingolIMod.
Reversible Cerebral Vasoconstriction Syndrome after Nifedipine Withdrawal
TLDR
This is a case of RCVS that was triggered by the sudden withdrawal of nifedipine, a CCB.
A Pediatric Case of Reversible Cerebral Vasoconstriction Syndrome With Similar Radiographic Findings to Posterior Reversible Encephalopathy Syndrome.
OnabotulinumtoxinA injections: treatment of reversible cerebral vasoconstriction syndrome chronic daily headaches
TLDR
OBT-A injections may prove a successful, novel treatment for RCVS-CDH, a rare condition characterised by repetitive, multifocal, vasofluctuations of cerebral arteries.
Reversible cerebral vasoconstriction syndrome and posterior reversible encephalopathy syndrome in a boy with Loeys‐Dietz syndrome
TLDR
The patient was a 9‐year‐old boy with a heterozygous TGFBR2 mutation, manifesting camptodactyly, talipes equinovarus, and lamboid craniosynostosis, who complained of severe recurrent headaches and was diagnosed as having RCVS, the first patient with LDS presenting with reversible cerebral vasoconstriction syndrome (RCVS).
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References

SHOWING 1-10 OF 92 REFERENCES
Intra‐Arterial Milrinone for Reversible Cerebral Vasoconstriction Syndrome
TLDR
A patient who presented with a clinically typical RCVS and developed focal neurological symptoms and signs despite oral treatment with calcium channel blockers was treated with intra‐arterial milrinone, a phosphodiesterase inhibitor, which resulted in a rapid and sustained neurological improvement.
Reversible cerebral vasoconstriction syndrome identification of prognostic factors
Reversible cerebral vasoconstriction syndrome.
TLDR
A large retrospective study on the anti-phospholipid antibody syndrome demonstrated that treatment with high-intensity warfarin with or without low-dose aspirin or treatment with aspirin alone in preventing further thrombotic events is significantly more effective than treatment with low-intensitywarfarin.
Reversible cerebral segmental vasoconstriction.
TLDR
This newly recognized clinical-angiographic syndrome should be differentiated from other known causes of vessel constriction and dilatation; the precipitants of reversible vasoconstriction may then be better defined.
Reversible Cerebral Vasoconstriction Syndromes: What the Cardiologist Should Know
  • A. Singhal
  • Medicine
    Current Treatment Options in Cardiovascular Medicine
  • 2014
TLDR
Since most patients do well with simple observation alone, invasive strategies such as pharmacologically-induced hypertension, balloon angioplasty, and direct intra-arterial vasodilator infusion should be reserved for patients showing clear clinical progression.
Narrative Review: Reversible Cerebral Vasoconstriction Syndromes
TLDR
This narrative review, by specialists in the field of rheumatology, headache, and stroke, will outline the cause and pathophysiology, symptoms and signs, diagnosis, treatment, and prognosis of RCVS and areas of uncertainty.
Reversible cerebral vasoconstriction syndrome: an under-recognized clinical emergency
TLDR
Most patients with RCVS recover without sequelae; however, relapse has been reported in a small proportion of patients, and calcium channel blockers, such as nimodipine may be an effective treatment in prevention of thunderclap headache attacks.
Multimodal Imaging of Reversible Cerebral Vasoconstriction Syndrome: A Series of 6 Cases
TLDR
A series of 6 cases of RCVS that highlight the imaging features across multiple modalities are presented and radiologists must understand the clinical and radiologic features so as to better guide imaging algorithms and facilitate diagnosis.
Three paediatric patients with reversible cerebral vasoconstriction syndromes
TLDR
It is suggested that RCVS should be considered in paediatric patients if they present with a history of multiple attacks of thunderclap headache, and the efficacy of calcium channel blockers was variable in these three boys.
Reversible cerebral vasoconstriction syndrome and bilateral vertebral artery dissection presenting in a patient after cesarean section
TLDR
The case of a patient with RCVS and bilateral vertebral artery dissection presenting with an intramedullary infarct treated successfully with medical management and careful close follow-up is described.
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