Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery

Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasospasm and it is often accompanied by either posterior reversible encephalopathy syndrome or stroke. However, other MRI abnormalities have rarely been reported. A 28-year-old woman presented with a thunderclap head...

Descripción completa

Detalles Bibliográficos
Autores principales: Hiraga, Akiyuki, Koide, Kyosuke, Aotsuka, Yuya, Kuwabara, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5173508/
https://www.ncbi.nlm.nih.gov/pubmed/27853083
_version_ 1782484320495075328
author Hiraga, Akiyuki
Koide, Kyosuke
Aotsuka, Yuya
Kuwabara, Satoshi
author_facet Hiraga, Akiyuki
Koide, Kyosuke
Aotsuka, Yuya
Kuwabara, Satoshi
author_sort Hiraga, Akiyuki
collection PubMed
description Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasospasm and it is often accompanied by either posterior reversible encephalopathy syndrome or stroke. However, other MRI abnormalities have rarely been reported. A 28-year-old woman presented with a thunderclap headache immediately after delivery; MRI showed segmental vasoconstriction and an abnormal signal in the splenium of the corpus callosum. Neuroimaging abnormalities normalized 20 days after the first examination. Only two cases of RCVS with transient splenial lesions (TSL) have so far been reported. Both cases occurred postpartum like ours, indicating that delivery may be a trigger for the development of both TSLs and RCVS.
format Online
Article
Text
id pubmed-5173508
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-51735082016-12-27 Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery Hiraga, Akiyuki Koide, Kyosuke Aotsuka, Yuya Kuwabara, Satoshi Intern Med Case Report Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasospasm and it is often accompanied by either posterior reversible encephalopathy syndrome or stroke. However, other MRI abnormalities have rarely been reported. A 28-year-old woman presented with a thunderclap headache immediately after delivery; MRI showed segmental vasoconstriction and an abnormal signal in the splenium of the corpus callosum. Neuroimaging abnormalities normalized 20 days after the first examination. Only two cases of RCVS with transient splenial lesions (TSL) have so far been reported. Both cases occurred postpartum like ours, indicating that delivery may be a trigger for the development of both TSLs and RCVS. The Japanese Society of Internal Medicine 2016-11-15 /pmc/articles/PMC5173508/ /pubmed/27853083 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hiraga, Akiyuki
Koide, Kyosuke
Aotsuka, Yuya
Kuwabara, Satoshi
Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery
title Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery
title_full Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery
title_fullStr Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery
title_full_unstemmed Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery
title_short Reversible Cerebral Vasoconstriction Syndrome with Transient Splenial Lesions after Delivery
title_sort reversible cerebral vasoconstriction syndrome with transient splenial lesions after delivery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5173508/
https://www.ncbi.nlm.nih.gov/pubmed/27853083
work_keys_str_mv AT hiragaakiyuki reversiblecerebralvasoconstrictionsyndromewithtransientspleniallesionsafterdelivery
AT koidekyosuke reversiblecerebralvasoconstrictionsyndromewithtransientspleniallesionsafterdelivery
AT aotsukayuya reversiblecerebralvasoconstrictionsyndromewithtransientspleniallesionsafterdelivery
AT kuwabarasatoshi reversiblecerebralvasoconstrictionsyndromewithtransientspleniallesionsafterdelivery

Ejemplares similares