特发性可逆性脑血管收缩综合征（RCVS）。
Idiopathic reversible cerebral vasoconstriction syndrome (RCVS).
作者信息
Abkur Tarig Mohammed, Saeed Mamoun, Alfaki Nidal Osman, O'Connor Margaret
机构信息
Department of Internal Medicine, University Hospital Limerick, Limerick, Ireland.
出版信息
BMJ Case Rep. 2014 Oct 15;2014:bcr2014206913. doi: 10.1136/bcr-2014-206913.
Abstract
Reversible cerebral vasoconstriction syndrome is characterised by severe thunderclap headache with associated characteristic transient, multifocal, segmental vasoconstriction of cerebral arteries lasting several weeks to months. We describe a 50-years old woman who presented with a severe sudden onset occipital headache. Neuroimaging revealed segmental vasospasm affecting the intracerebral arteries. The pain improved gradually over the next 6 weeks. Repeat brain MR angiography at 12 weeks showed complete resolution of the segmental narrowing.
摘要
可逆性脑血管收缩综合征的特征是严重的霹雳样头痛，并伴有特征性的脑动脉短暂、多灶性、节段性血管收缩，持续数周数月。我们报告一名50岁女性，出现严重突发枕部头痛。神经影像学检查显示节段性血管痉挛累及脑内动脉。疼痛在接下来的6周内逐渐改善。12周时重复脑磁共振血管造影显示节段性狭窄完全消失。
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