Sivagurunathan Gayathri M, Khan Anas, Fotopoulos Dimitrios
Radiology, Indira Gandhi Medical College & Research Institute, Pondicherry, IND.
Radiology, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR.
Cureus. 2024 May 3;16(5):e59595. doi: 10.7759/cureus.59595. eCollection 2024 May.
Reversible cerebral vasoconstriction syndrome (RCVS) poses a complex neurological challenge characterized by sudden, severe headaches and multifocal cerebral vasoconstriction. While our understanding of its clinical aspects and underlying mechanisms has advanced, the focus of investigation remains on radiological manifestations. This systematic review aims to comprehensively analyze the existing literature on radiological findings in RCVS, synthesizing evidence from diverse imaging modalities to enhance the understanding of imaging features associated with the syndrome. Accurate diagnosis based on radiological findings is pivotal for initiating appropriate management and preventing complications. Specific markers may facilitate the differentiation of RCVS from other conditions, thereby enhancing patient care. This review explores a wide range of radiological presentations, from vasoconstriction to infarctions and hemorrhages, thereby refining diagnostic criteria and guiding clinical practice. By consolidating current knowledge, the review sheds light on areas of consensus, controversies, and gaps, with the aim of serving as a comprehensive resource for evidence-based decision-making.
可逆性脑血管收缩综合征（RCVS）带来了复杂的神经学挑战，其特征为突发的严重头痛和多灶性脑血管收缩。尽管我们对其临床方面和潜在机制的理解已有进展，但研究重点仍在影像学表现上。本系统评价旨在全面分析关于RCVS影像学发现的现有文献，综合来自多种成像方式的证据，以增进对与该综合征相关的影像学特征的理解。基于影像学发现进行准确诊断对于启动适当治疗和预防并发症至关重要。特定标志物可能有助于RCVS与其他病症的鉴别，从而改善患者护理。本评价探讨了从血管收缩到梗死和出血的广泛影像学表现，从而完善诊断标准并指导临床实践。通过整合现有知识，本评价阐明了共识、争议和差距领域，旨在成为基于证据的决策的全面资源。
