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Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?

INTRODUCTION: Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible cerebral arteries vasoconstriction. The pathophysiology remains unclear, but many triggers were reported. CASE REPORTS: We reported two cases of patients with meningitis who dev...

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Autores principales: Oukhai, Fida, Domigo, Valérie, Benzakoun, Joseph, Wolff, Michel, Ducros, Anne, Mas, Jean-Louis, Calvet, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400005/
https://www.ncbi.nlm.nih.gov/pubmed/37545713
http://dx.doi.org/10.3389/fneur.2023.1143215
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author Oukhai, Fida
Domigo, Valérie
Benzakoun, Joseph
Wolff, Michel
Ducros, Anne
Mas, Jean-Louis
Calvet, David
author_facet Oukhai, Fida
Domigo, Valérie
Benzakoun, Joseph
Wolff, Michel
Ducros, Anne
Mas, Jean-Louis
Calvet, David
author_sort Oukhai, Fida
collection PubMed
description INTRODUCTION: Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible cerebral arteries vasoconstriction. The pathophysiology remains unclear, but many triggers were reported. CASE REPORTS: We reported two cases of patients with meningitis who developed RCVS confirmed by brain imaging. They presented clinical and CSF features of meningitis that are suspected to be infectious, but no agent was identified. Headache and artery irregularities were resolved with the improvement of CSF. CONCLUSION: These cases suggest that in the context of meningitis, modification or atypical headaches should lead to brain imaging to rule out RCVS. We hypothesized that CSF inflammation may trigger cerebral arteries vasoconstriction.
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spelling pubmed-104000052023-08-04 Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? Oukhai, Fida Domigo, Valérie Benzakoun, Joseph Wolff, Michel Ducros, Anne Mas, Jean-Louis Calvet, David Front Neurol Neurology INTRODUCTION: Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible cerebral arteries vasoconstriction. The pathophysiology remains unclear, but many triggers were reported. CASE REPORTS: We reported two cases of patients with meningitis who developed RCVS confirmed by brain imaging. They presented clinical and CSF features of meningitis that are suspected to be infectious, but no agent was identified. Headache and artery irregularities were resolved with the improvement of CSF. CONCLUSION: These cases suggest that in the context of meningitis, modification or atypical headaches should lead to brain imaging to rule out RCVS. We hypothesized that CSF inflammation may trigger cerebral arteries vasoconstriction. Frontiers Media S.A. 2023-07-20 /pmc/articles/PMC10400005/ /pubmed/37545713 http://dx.doi.org/10.3389/fneur.2023.1143215 Text en Copyright © 2023 Oukhai, Domigo, Benzakoun, Wolff, Ducros, Mas and Calvet. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Oukhai, Fida
Domigo, Valérie
Benzakoun, Joseph
Wolff, Michel
Ducros, Anne
Mas, Jean-Louis
Calvet, David
Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?
title Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?
title_full Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?
title_fullStr Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?
title_full_unstemmed Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?
title_short Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?
title_sort case report: meningitis: a cause of reversible cerebral vasoconstriction syndrome?
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400005/
https://www.ncbi.nlm.nih.gov/pubmed/37545713
http://dx.doi.org/10.3389/fneur.2023.1143215
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