Laakso Elina, Pekkola Johanna, Soinne Lauri, Putaala Jukka
HYKS - neurologia klinikka.
Duodecim. 2014;130(22-23):2295-302.
Reversible cerebral vasoconstriction syndrome (RCVS) is increasingly recognized. The condition is characterized by multifocal vasoconstriction lesions in cerebral arteries. Headache is the central symptom, with an acute onset and paroxysmal occurrence. Some of the patients develop intracranial hemorrhage, ischemic disturbance of the cerebral circulation, hypertensive encephalopathy (PRES) or epileptic seizures as complications. The disease is most common in middle-aged women. Most patients have an underlying predisposing factor, most commonly vasoactive medications, drugs or puerperium. There is no evidence-based practice.
可逆性脑血管收缩综合征(RCVS)越来越受到认可。该病症的特征是脑动脉出现多灶性血管收缩病变。头痛是主要症状,起病急且呈阵发性发作。部分患者会并发颅内出血、脑循环缺血性障碍、高血压脑病(PRES)或癫痫发作。该疾病在中年女性中最为常见。大多数患者有潜在的诱发因素,最常见的是血管活性药物、毒品或产褥期。目前尚无循证实践。