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Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report

CASE: Reversible cerebral vasoconstriction syndrome (RCVS) is an increasingly recognized and important cause of thunderclap headache. Delays in diagnosis may cause deterioration of symptoms and concomitant unnecessary investigations. However, the diagnosis of RCVS in the acute stage remains difficul...

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Autores principales: Yamamoto, Akitaka, Omori, Yukinari, Shindo, Akihiro, Imai, Hiroshi, Suzuki, Hidenori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649303/
https://www.ncbi.nlm.nih.gov/pubmed/29123909
http://dx.doi.org/10.1002/ams2.300
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author Yamamoto, Akitaka
Omori, Yukinari
Shindo, Akihiro
Imai, Hiroshi
Suzuki, Hidenori
author_facet Yamamoto, Akitaka
Omori, Yukinari
Shindo, Akihiro
Imai, Hiroshi
Suzuki, Hidenori
author_sort Yamamoto, Akitaka
collection PubMed
description CASE: Reversible cerebral vasoconstriction syndrome (RCVS) is an increasingly recognized and important cause of thunderclap headache. Delays in diagnosis may cause deterioration of symptoms and concomitant unnecessary investigations. However, the diagnosis of RCVS in the acute stage remains difficult. A 41‐year‐old man was admitted to the emergency department for severe, recurrent occipital headaches. The results of initial computed tomography and magnetic resonance imaging (MRI) of the brain and cerebrospinal fluid analysis were normal. Magnetic resonance angiography (MRA) showed multisegmental luminal stenosis of the basilar artery. Basi‐parallel anatomical scanning (BPAS)‐MRI, illustrating the outer contour of the vertebrobasilar artery, also showed multisegmental stenosis. OUTCOME: The patient was speculated as having RCVS and was treated with oral lomerizine hydrochloride. Repeat MRA and BPAS‐MRI 2 months later showed resolution, confirming RCVS. CONCLUSION: Combined with MRA, BPAS‐MRI is an effective and non‐invasive imaging method for diagnosis of RCVS of the basilar artery.
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spelling pubmed-56493032017-11-09 Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report Yamamoto, Akitaka Omori, Yukinari Shindo, Akihiro Imai, Hiroshi Suzuki, Hidenori Acute Med Surg Case Reports CASE: Reversible cerebral vasoconstriction syndrome (RCVS) is an increasingly recognized and important cause of thunderclap headache. Delays in diagnosis may cause deterioration of symptoms and concomitant unnecessary investigations. However, the diagnosis of RCVS in the acute stage remains difficult. A 41‐year‐old man was admitted to the emergency department for severe, recurrent occipital headaches. The results of initial computed tomography and magnetic resonance imaging (MRI) of the brain and cerebrospinal fluid analysis were normal. Magnetic resonance angiography (MRA) showed multisegmental luminal stenosis of the basilar artery. Basi‐parallel anatomical scanning (BPAS)‐MRI, illustrating the outer contour of the vertebrobasilar artery, also showed multisegmental stenosis. OUTCOME: The patient was speculated as having RCVS and was treated with oral lomerizine hydrochloride. Repeat MRA and BPAS‐MRI 2 months later showed resolution, confirming RCVS. CONCLUSION: Combined with MRA, BPAS‐MRI is an effective and non‐invasive imaging method for diagnosis of RCVS of the basilar artery. John Wiley and Sons Inc. 2017-07-28 /pmc/articles/PMC5649303/ /pubmed/29123909 http://dx.doi.org/10.1002/ams2.300 Text en © 2017 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Yamamoto, Akitaka
Omori, Yukinari
Shindo, Akihiro
Imai, Hiroshi
Suzuki, Hidenori
Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
title Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
title_full Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
title_fullStr Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
title_full_unstemmed Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
title_short Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
title_sort basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649303/
https://www.ncbi.nlm.nih.gov/pubmed/29123909
http://dx.doi.org/10.1002/ams2.300
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