Basi‐parallel anatomical scanning–magnetic resonance imaging for the diagnosis of reversible cerebral vasoconstriction syndrome of the basilar artery: a case report
نویسندگان
چکیده
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.
منابع مشابه
Long-term observation of lateral medullary infarction due to vertebral artery dissection assessed with multimodal neuroimaging.
A 33-year-old man presented with a lateral medullary infarction, vertigo, and nausea. At the time of hospital admission, he had Wallenberg syndrome. Although initial magnetic resonance imaging showed no abnormalities, subsequent diffusion-weighted magnetic resonance imaging showed a high-intensity area in the right lateral medulla oblongata. The right vertebral artery was shown to be dilated on...
متن کاملA Case Report of Patient with Takayasu’s Arteritis Complicated by Reversible Cerebral Vasoconstriction Syndrome
Takayasu’s arteritis (TA) is a chronic inflammatory vascular disease that mainly affects large vessels. Central nervous system involvement occurs in about 20% of cases with rare involvement of intracranial vessel, and its typical manifestation is cerebral ischemia or stroke. Reversible cerebral vasoconstriction syndrome (RCVS) is a group of disorders with prolonged, but reversible vasoconstrict...
متن کاملDual energy computed tomography angiography for the rapid diagnosis of reversible cerebral vasoconstriction syndromes: report of a case.
PURPOSE Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by segmental vasoconstriction and dilatation of intracranial arteries, typically affecting bilateral medium-sized intracranial arteries and their branches. The diagnosis usually relies both on clinical presentations and cerebral vascular imaging such as magnetic resonance angiography or conventional angiography. Dual ...
متن کاملA Case Report of Variant Origin of Left Vertebral Artery from Aortic Arch and its Embryological Explanation
Vertebral artery is the first branch of subclavian artery. It merges with the same artery of the opposite side to form basilar artery and becomes one of the important source of blood supply to the brain. Variation in the origin of left vertebral artery was found in 65 year old female during magnetic resonance angiography of the neck vessels. It originated from aortic arch and was longer as ...
متن کاملThrombolytic Therapy for Cerebral Vein Thrombosis in Antiphospholipid Syndrome Secondary to Systemic Lupus Erythematosus
A 20-year-old woman was admitted to a Gynecology Hospital in her 6th month of pregnancy for high blood pressure and tonic-clonic seizure. Primary diagnosis was eclampsia, and for that reason she underwent cesarean section. She also had headache on frontal and parietal areas without nausea or vomiting. There was not a focal neurological sign. Rheumatology consultation was requested. Systemic lup...
متن کامل