Roongpiboonsopit Duangnapa, Kongbunkiat Kannikar, Phanthumchinda Kammant
J Med Assoc Thai. 2016 Jan;99(1):97-105.
Reversible cerebral vasoconstriction syndrome (RCVS), a recently recognized syndrome, is defined as an intermittent segmental vasospasm of cerebral arteries accompanied by thunderclap headache. The major complications of RCVS include ischemic or hemorrhagic stroke, which may cause morbidity and mortality. It is important to detect RCVS in clinical practice because misdiagnosis may lead to inappropriate treatment. In Thailand, there are only two reported cases of RCVS, which may reflect an underdiagnosis of this syndrome. To raise awareness of RCVS, we reported a case series of three RCVS cases. Two of the presented cases had interesting precipitating factors, and two cases had an unusual delayed clinical course.
可逆性脑血管收缩综合征(RCVS)是一种最近才被认识的综合征,其定义为伴有霹雳样头痛的脑动脉间歇性节段性血管痉挛。RCVS的主要并发症包括缺血性或出血性中风,这可能导致发病和死亡。在临床实践中检测RCVS很重要,因为误诊可能导致不恰当的治疗。在泰国,仅报告了两例RCVS病例,这可能反映出该综合征诊断不足。为提高对RCVS的认识,我们报告了一组三例RCVS病例。其中两例有有趣的诱发因素,两例有不寻常的延迟临床病程。