scholarly journals Diagnostic Value of Thunderclap Headache and Convexal Subarachnoid Hemorrhage for Reversible Cerebral Vasoconstriction Syndrome: A Case Report

Cureus ◽  
2021 ◽  
Author(s):  
Ricardo D Otiniano-Sifuentes ◽  
Laura Zelada-Ríos ◽  
Jorge Ramírez-Quiñones ◽  
Carlos Abanto ◽  
María Novoa ◽  
...  
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Diagnostic Value ◽  
Thunderclap Headache ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Cerebral Vasoconstriction ◽  
Convexal Subarachnoid Hemorrhage

Thunderclap Headache

2016 ◽  
Author(s):  
Ji Y. Chong ◽  
Michael P. Lerario
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Thunderclap Headache ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Cerebral Vasoconstriction ◽  
Vasoactive Medication ◽  
Angiographic Findings

Reversible cerebral vasoconstriction syndrome can cause thunderclap headache, subarachnoid hemorrhage, and stroke. The clinical presentation can be similar to aneurysmal subarachnoid hemorrhage and therefore requires rapid angiography. Angiographic findings of vasculopathy and resolution of clinical symptoms and imaging abnormalities support this diagnosis. This syndrome is most often incited following pregnancy or the ingestion of a vasoactive medication.

Reversible cerebral vasoconstriction syndrome precipitated by airplane descent: Case report

Cephalalgia ◽  
2016 ◽  
Vol 37 (11) ◽  
pp. 1102-1105 ◽  
Author(s):  
Akiyuki Hiraga ◽  
Yuya Aotsuka ◽  
Kyosuke Koide ◽  
Satoshi Kuwabara
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Time Course ◽  
Air Travel ◽  
Thunderclap Headache ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Precipitating Factors ◽  
Vasoactive Agents ◽  
Cerebral Vasoconstriction

Background Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasospasm. Vasoactive agents and childbirth have been reported as precipitating factors for RCVS; however, RCVS induced by altitude change or air travel has rarely been reported. Case We present a case of a 74-year-old woman who presented with thunderclap headache during airplane descent. Magnetic resonance angiography demonstrated segmental vasoconstriction that improved 9 days after onset. Conclusion These findings indicate that airplane descent may be a trigger of RCVS. The time course of headache in the present case was similar to that of prolonged headache attributed to airplane travel, indicating that RCVS during air travel may have previously been overlooked and that some headache attributed to airplane travel cases may represent a milder form of RCVS.

Reversible cerebral vasoconstriction syndrome associated with interferon beta-1a use for multiple sclerosis

2016 ◽  
Vol 22 (12) ◽  
pp. 1626-1628 ◽  
Author(s):  
Tamara Strohm ◽  
Burhan Chaudhry ◽  
Mary A Willis ◽  
Steven Shook
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Cerebral Angiography ◽  
Interferon Beta ◽  
Acute Onset ◽  
Severe Headache ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Cerebral Vasoconstriction ◽  
First Case

Background: Reversible cerebral vasoconstriction syndrome (RCVS) has been associated with multiple medications, cocaine, pregnancy, migraine, and other conditions. Objectives: RCVS associated with interferon beta use has never before been described. Methods: We describe the case of a 20-year-old female who developed acute onset severe headache and was found to have subarachnoid hemorrhage 2 months after initiating Rebif (Interferon beta-1a) for multiple sclerosis (MS). Cerebral angiography showed multiple areas of distal stenosis and dilatation with radiographic resolution 1 month later. Results/conclusions: This is the first case report of RCVS in an MS patient treated with Rebif.

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