Montague E, Murphy C
University of Manchester Medical School, Manchester, UK.
Consultant Neurologist, Greater Manchester Neuroscience Centre, Salford Royal Hospital, Salford, UK.
Acute Med. 2014;13(2):74-6.
Reversible cerebral vasoconstriction syndrome (rCVS) is an important cause of acute severe headache that is poorly understood and under-recognised. It typically presents with recurrent thunderclap headaches and is characterised by multifocal, segmental constriction and dilatation of the cerebral arteries, shown by a 'string of beads' appearance, on cerebral angiography. We describe a case of rCVS in a 39-year-old male presenting with post-coital thunderclap headaches following a whiplash-type injury.
可逆性脑血管收缩综合征（rCVS）是急性重度头痛的一个重要病因，目前对此了解甚少且认识不足。它通常表现为反复发作的霹雳样头痛，其特征是脑动脉多灶性、节段性收缩和扩张，在脑血管造影上表现为“串珠样”外观。我们描述了一例39岁男性的rCVS病例，该患者在挥鞭样损伤后出现性交后霹雳样头痛。
