Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System

A 48-year-old man had convulsions, and magnetic resonance angiography (MRA) showed diffuse constriction of the cerebral arteries. He was suspected of having primary angiitis of the central nervous system (PACNS) and treated with steroid for three days. The MRA abnormality disappeared after a week. A...

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Detalles Bibliográficos
Autores principales: Matsubayashi, Taiki, Oniki, Ayako, Furuki, Misako, Obayashi, Masato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355395/
https://www.ncbi.nlm.nih.gov/pubmed/33612678
http://dx.doi.org/10.2169/internalmedicine.6560-20
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author Matsubayashi, Taiki
Oniki, Ayako
Furuki, Misako
Obayashi, Masato
author_facet Matsubayashi, Taiki
Oniki, Ayako
Furuki, Misako
Obayashi, Masato
author_sort Matsubayashi, Taiki
collection PubMed
description A 48-year-old man had convulsions, and magnetic resonance angiography (MRA) showed diffuse constriction of the cerebral arteries. He was suspected of having primary angiitis of the central nervous system (PACNS) and treated with steroid for three days. The MRA abnormality disappeared after a week. After 69 days, he developed dizziness, and MRA revealed recurrence of cerebral artery stenosis. Nevertheless, the symptoms and abnormal MRA findings recovered promptly without treatment. He was diagnosed with reversible cerebral vasoconstriction syndrome (RCVS) without headache. This case suggests that RCVS should be a differential diagnosis in patients without headache whose MRA findings show multiple cerebral artery stenosis.
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spelling pubmed-83553952021-08-24 Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System Matsubayashi, Taiki Oniki, Ayako Furuki, Misako Obayashi, Masato Intern Med Case Report A 48-year-old man had convulsions, and magnetic resonance angiography (MRA) showed diffuse constriction of the cerebral arteries. He was suspected of having primary angiitis of the central nervous system (PACNS) and treated with steroid for three days. The MRA abnormality disappeared after a week. After 69 days, he developed dizziness, and MRA revealed recurrence of cerebral artery stenosis. Nevertheless, the symptoms and abnormal MRA findings recovered promptly without treatment. He was diagnosed with reversible cerebral vasoconstriction syndrome (RCVS) without headache. This case suggests that RCVS should be a differential diagnosis in patients without headache whose MRA findings show multiple cerebral artery stenosis. The Japanese Society of Internal Medicine 2021-02-22 2021-07-15 /pmc/articles/PMC8355395/ /pubmed/33612678 http://dx.doi.org/10.2169/internalmedicine.6560-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal 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
Matsubayashi, Taiki
Oniki, Ayako
Furuki, Misako
Obayashi, Masato
Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System
title Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System
title_full Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System
title_fullStr Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System
title_full_unstemmed Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System
title_short Reversible Cerebral Vasoconstriction Syndrome without Headache That Was Initially Suspected of Being Primary Angiitis of the Central Nervous System
title_sort reversible cerebral vasoconstriction syndrome without headache that was initially suspected of being primary angiitis of the central nervous system
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355395/
https://www.ncbi.nlm.nih.gov/pubmed/33612678
http://dx.doi.org/10.2169/internalmedicine.6560-20
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