1. Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System
- Author
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Masato Obayashi, Misako Furuki, Taiki Matsubayashi, and Ayako Oniki
- Subjects
Male ,medicine.medical_specialty ,reversible cerebral vasoconstriction syndrome ,Central nervous system ,Cerebral arteries ,Case Report ,030204 cardiovascular system & hematology ,Magnetic resonance angiography ,Constriction ,Cerebral artery stenosis ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Internal Medicine ,medicine ,Humans ,Vasospasm, Intracranial ,cardiovascular diseases ,Vasculitis, Central Nervous System ,medicine.diagnostic_test ,business.industry ,magnetic resonance angiography ,Headache ,General Medicine ,Middle Aged ,medicine.disease ,eye diseases ,Reversible cerebral vasoconstriction syndrome ,nervous system diseases ,primary angiitis of the central nervous system ,Cerebrovascular Disorders ,medicine.anatomical_structure ,Vasoconstriction ,cardiovascular system ,Cardiology ,030211 gastroenterology & hepatology ,Differential diagnosis ,Abnormality ,business ,circulatory and respiratory physiology - Abstract
A 48-year-old man had convulsions, and magnetic resonance angiography (MRA) showed diffuse constriction of the cerebral arteries. He was suspected of having primary angiitis of the central nervous system (PACNS) and treated with steroid for three days. The MRA abnormality disappeared after a week. After 69 days, he developed dizziness, and MRA revealed recurrence of cerebral artery stenosis. Nevertheless, the symptoms and abnormal MRA findings recovered promptly without treatment. He was diagnosed with reversible cerebral vasoconstriction syndrome (RCVS) without headache. This case suggests that RCVS should be a differential diagnosis in patients without headache whose MRA findings show multiple cerebral artery stenosis.
- Published
- 2021
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