Reversible cerebral vasoconstriction syndrome

Background: Reversible cerebral vasoconstriction syndrome is characterized by thunderclap headache associated with multifocal vasoconstriction of cerebral arteries in patients without aneurysmal subarachnoid hemorrhage (SAH). The vasoconstriction reverts within three months. We report a 44-year-old...

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Autores principales:	SAMPAIO ROCHA FILHO,PEDRO AUGUSTO, SANTOS BARBOSA,JANAYNA, MELO CORREA-LIMA,ANA ROSA
Lenguaje:	English
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Cerebral arterial diseases Coitus Headache Vasospasm, intracranial
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800009
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spelling	oai:scielo:S0034-988720100008000092010-12-21Reversible cerebral vasoconstriction syndromeSAMPAIO ROCHA FILHO,PEDRO AUGUSTOSANTOS BARBOSA,JANAYNAMELO CORREA-LIMA,ANA ROSA Cerebral arterial diseases Coitus Headache Vasospasm, intracranial Background: Reversible cerebral vasoconstriction syndrome is characterized by thunderclap headache associated with multifocal vasoconstriction of cerebral arteries in patients without aneurysmal subarachnoid hemorrhage (SAH). The vasoconstriction reverts within three months. We report a 44-year-old man who had a thunderclap headache during sexual intercourse. A similar episode occurred at rest 36 hours later. The patient had already experienced a thunderclap headache 10 years earlier, during coitus. There were no abnormalities on examination. His brain computed tomography scan was normal and cerebrospinal fluid analysis showed no xanthochromia, 15 WBC/mm³ and 10 RBC/mm³. Lumbar puncture was repeated two days later (WBC = 3/mm³ and RBC = 43/mm³). An initial digital cerebral angiography showed a diffuse segmental intracerebral vasospasm. A new angiography after 15 days was normal. He remains headache-free after twenty six months. In conclusion, patients who have thunderclap headache with normal brain CT and cerebrospinal fluid without xantochromia should be investigated for this syndrome.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.8 20102010-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800009en10.4067/S0034-98872010000800009
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Cerebral arterial diseases Coitus Headache Vasospasm, intracranial
spellingShingle	Cerebral arterial diseases Coitus Headache Vasospasm, intracranial SAMPAIO ROCHA FILHO,PEDRO AUGUSTO SANTOS BARBOSA,JANAYNA MELO CORREA-LIMA,ANA ROSA Reversible cerebral vasoconstriction syndrome
description	Background: Reversible cerebral vasoconstriction syndrome is characterized by thunderclap headache associated with multifocal vasoconstriction of cerebral arteries in patients without aneurysmal subarachnoid hemorrhage (SAH). The vasoconstriction reverts within three months. We report a 44-year-old man who had a thunderclap headache during sexual intercourse. A similar episode occurred at rest 36 hours later. The patient had already experienced a thunderclap headache 10 years earlier, during coitus. There were no abnormalities on examination. His brain computed tomography scan was normal and cerebrospinal fluid analysis showed no xanthochromia, 15 WBC/mm³ and 10 RBC/mm³. Lumbar puncture was repeated two days later (WBC = 3/mm³ and RBC = 43/mm³). An initial digital cerebral angiography showed a diffuse segmental intracerebral vasospasm. A new angiography after 15 days was normal. He remains headache-free after twenty six months. In conclusion, patients who have thunderclap headache with normal brain CT and cerebrospinal fluid without xantochromia should be investigated for this syndrome.
author	SAMPAIO ROCHA FILHO,PEDRO AUGUSTO SANTOS BARBOSA,JANAYNA MELO CORREA-LIMA,ANA ROSA
author_facet	SAMPAIO ROCHA FILHO,PEDRO AUGUSTO SANTOS BARBOSA,JANAYNA MELO CORREA-LIMA,ANA ROSA
author_sort	SAMPAIO ROCHA FILHO,PEDRO AUGUSTO
title	Reversible cerebral vasoconstriction syndrome
title_short	Reversible cerebral vasoconstriction syndrome
title_full	Reversible cerebral vasoconstriction syndrome
title_fullStr	Reversible cerebral vasoconstriction syndrome
title_full_unstemmed	Reversible cerebral vasoconstriction syndrome
title_sort	reversible cerebral vasoconstriction syndrome
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800009
work_keys_str_mv	AT sampaiorochafilhopedroaugusto reversiblecerebralvasoconstrictionsyndrome AT santosbarbosajanayna reversiblecerebralvasoconstrictionsyndrome AT melocorrealimaanarosa reversiblecerebralvasoconstrictionsyndrome
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Reversible cerebral vasoconstriction syndrome

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