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Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning
Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical condition characterized by arterial involvement of the intracranial vessels, manifesting with vasospasm. The most common clinical manifestation related to the syndrome is the thunderclap headache, which consists of a severe headache...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800248/ https://www.ncbi.nlm.nih.gov/pubmed/36589490 http://dx.doi.org/10.1016/j.radcr.2022.11.044 |
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author | Veras, Arthur de Oliveira Noleto, Felipe Micelli Ribas, Michelle Zonkowski Paticcié, Gabriela Ferreira Palomo Barreira, Raphael Correa, Beatriz Medeiros Torres, Thomas Zurga Markus Rossette, Vanessa Moraes Miranda, Natalia Figueiredo Miyahira, Clara Kimie Claudino dos Santos, Júlio César |
author_facet | Veras, Arthur de Oliveira Noleto, Felipe Micelli Ribas, Michelle Zonkowski Paticcié, Gabriela Ferreira Palomo Barreira, Raphael Correa, Beatriz Medeiros Torres, Thomas Zurga Markus Rossette, Vanessa Moraes Miranda, Natalia Figueiredo Miyahira, Clara Kimie Claudino dos Santos, Júlio César |
author_sort | Veras, Arthur de Oliveira |
collection | PubMed |
description | Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical condition characterized by arterial involvement of the intracranial vessels, manifesting with vasospasm. The most common clinical manifestation related to the syndrome is the thunderclap headache, which consists of a severe headache that reaches the peak of pain within minutes. The imaging study assumes a leading role in the complementary investigation. Laboratory tests and cerebrospinal fluid analysis are often nonspecific and without significant diagnostic importance. Non-contrast studies of the brain parenchyma reveal variable results that can often be normal. Angiographic findings, which initially may not reveal any changes, allow the visualization of diffuse narrowing of the vessels, with the posterior cerebral circulation being preferentially affected. The present study reports the case of a 19-year-old woman with no relevant medical history, except that she was a regular user of marijuana and a drug based on chloroform and ether. The patient showed clinical and imaging signs compatible with RCVS, and the narcotics used by her were considered precipitating factors. |
format | Online Article Text |
id | pubmed-9800248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-98002482022-12-31 Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning Veras, Arthur de Oliveira Noleto, Felipe Micelli Ribas, Michelle Zonkowski Paticcié, Gabriela Ferreira Palomo Barreira, Raphael Correa, Beatriz Medeiros Torres, Thomas Zurga Markus Rossette, Vanessa Moraes Miranda, Natalia Figueiredo Miyahira, Clara Kimie Claudino dos Santos, Júlio César Radiol Case Rep Case Report Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical condition characterized by arterial involvement of the intracranial vessels, manifesting with vasospasm. The most common clinical manifestation related to the syndrome is the thunderclap headache, which consists of a severe headache that reaches the peak of pain within minutes. The imaging study assumes a leading role in the complementary investigation. Laboratory tests and cerebrospinal fluid analysis are often nonspecific and without significant diagnostic importance. Non-contrast studies of the brain parenchyma reveal variable results that can often be normal. Angiographic findings, which initially may not reveal any changes, allow the visualization of diffuse narrowing of the vessels, with the posterior cerebral circulation being preferentially affected. The present study reports the case of a 19-year-old woman with no relevant medical history, except that she was a regular user of marijuana and a drug based on chloroform and ether. The patient showed clinical and imaging signs compatible with RCVS, and the narcotics used by her were considered precipitating factors. Elsevier 2022-12-20 /pmc/articles/PMC9800248/ /pubmed/36589490 http://dx.doi.org/10.1016/j.radcr.2022.11.044 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Veras, Arthur de Oliveira Noleto, Felipe Micelli Ribas, Michelle Zonkowski Paticcié, Gabriela Ferreira Palomo Barreira, Raphael Correa, Beatriz Medeiros Torres, Thomas Zurga Markus Rossette, Vanessa Moraes Miranda, Natalia Figueiredo Miyahira, Clara Kimie Claudino dos Santos, Júlio César Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning |
title | Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning |
title_full | Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning |
title_fullStr | Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning |
title_full_unstemmed | Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning |
title_short | Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning |
title_sort | reversible cerebral vasoconstriction syndrome associated with probable drug poisoning |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800248/ https://www.ncbi.nlm.nih.gov/pubmed/36589490 http://dx.doi.org/10.1016/j.radcr.2022.11.044 |
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