Reversible cerebral vasoconstriction syndrome (RCVS): an interesting case report

Abstract Background Reversible Cerebral Vasoconstriction Syndrome is a condition of transient cerebral vascular spasms, which usually presents with recurrent thunderclap headaches and recovers within 3 months. Several probable triggers underlying factors, such as sex hormones, vasoactive drugs, head trauma or surgery, tumors, have been implicated. Case presentation In this paper, we present 53-year-old woman normal lab tests who was radio-clinically diagnosed reversible vasoconstriction syndrome treated accordingly. Then, she experienced the recurrence RCVS after about 2 years 1 year in association high blood pressure, sugar, hypothyroidism, hyperlipidemia, urine metanephrine level 5 times higher than limit, suggesting diagnosis pheochromocytoma. After confirmation further imaging studies, surgical removal tumor resolved all signs symptoms. Conclusion Often underdiagnosed, pheochromocytoma could be an important associated RCVS. It for clinicians to bear mind while dealing similar cases headaches.