Skip to main content
Erschienen in: InFo Neurologie + Psychiatrie 3/2018

16.03.2018 | Angiografie | zertifizierte fortbildung

Wichtige Differenzialdiagnose bei akut einsetzenden Cephalgien

Das reversible zerebrale Vasokonstriktionssyndrom

verfasst von: Dr. med. Gabriele Johanna Sixt, Dr. med. Susanne Büchner, Dr. med. Monika Wallnöfer, Dr. med. Giuseppe Roscia

Erschienen in: InFo Neurologie + Psychiatrie | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

Zusammenfassung

Das reversible zerebrale Vasokonstriktionssyndrom (RCVS) ist eine Erkrankung, welche unter anderem durch rezidivierende Attacken eines Donnerschlagkopfschmerzes, mögliche Schlaganfälle sowie multisegmentale Vasospasmen in den zerebralen Arterien gekennzeichnet ist. Für die Diagnose ist unter anderem der Nachweis der Reversibilität der zerebralen Vasokonstriktionen innerhalb von drei Monaten notwendig, welcher durch CT- oder MRT-Angiografien oder transkranielle farbkodierte Duplexsonografie (TCCD) erfolgen kann.
Literatur
1.
Zurück zum Zitat Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33:629–808.CrossRef Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33:629–808.CrossRef
2.
Zurück zum Zitat Calabrese LH, Dodick DW, Schwedt TJ, Singhal AB. Narrative review: reversible cerebral vasoconstriction syndromes. Ann Intern Med 2007;146:34–44.CrossRef Calabrese LH, Dodick DW, Schwedt TJ, Singhal AB. Narrative review: reversible cerebral vasoconstriction syndromes. Ann Intern Med 2007;146:34–44.CrossRef
3.
Zurück zum Zitat Chen SP, Fuh JL, Wang SJ. Reversible cerebral vasoconstriction syndrome: an under-recognized clinical emergency. Ther Adv Neurol Disord 2010;3:161–171.CrossRef Chen SP, Fuh JL, Wang SJ. Reversible cerebral vasoconstriction syndrome: an under-recognized clinical emergency. Ther Adv Neurol Disord 2010;3:161–171.CrossRef
4.
Zurück zum Zitat Fisher CM. Cerebral ischemia — less familiar types. Clin Neurosurg 1971;18:267–336.CrossRef Fisher CM. Cerebral ischemia — less familiar types. Clin Neurosurg 1971;18:267–336.CrossRef
5.
Zurück zum Zitat Call GK, Fleming MC, Sealfon S, Leviine H, Kistler JP, Fisher CM. Reversible cerebral segmental vasoconstriction. Stroke 1988;19:1159–1970.CrossRef Call GK, Fleming MC, Sealfon S, Leviine H, Kistler JP, Fisher CM. Reversible cerebral segmental vasoconstriction. Stroke 1988;19:1159–1970.CrossRef
6.
Zurück zum Zitat Dodick DW, Brown RD Jr., Britton JW, Huston J. Nonaneurysnal thunderclap headache with diffuse, multifocal, segmental, and reversible vasospasm. Cephalagia 1999;19:118–123.CrossRef Dodick DW, Brown RD Jr., Britton JW, Huston J. Nonaneurysnal thunderclap headache with diffuse, multifocal, segmental, and reversible vasospasm. Cephalagia 1999;19:118–123.CrossRef
7.
Zurück zum Zitat Calabrese LH, Gragg LA, Furlan AJ. Benign angiopathy: a distinct subset of angiographically defined primary angiitis of the central nervous system. J Rheumatol 1993;20:2046–2050.PubMed Calabrese LH, Gragg LA, Furlan AJ. Benign angiopathy: a distinct subset of angiographically defined primary angiitis of the central nervous system. J Rheumatol 1993;20:2046–2050.PubMed
8.
Zurück zum Zitat Bogousslavsky J, Despland PA, Regli F, Dubuis PY. Postpartum cerebral angiopathy: reversible vasoconstriction assessed by transcranial Doppler ultrasounds. Eur Neurol 1989;29:102–105.CrossRef Bogousslavsky J, Despland PA, Regli F, Dubuis PY. Postpartum cerebral angiopathy: reversible vasoconstriction assessed by transcranial Doppler ultrasounds. Eur Neurol 1989;29:102–105.CrossRef
9.
Zurück zum Zitat Jackson M, Lennox G, Jaspan T, Jefferson D. Migraine angiitis precipitated by sex headache and leading to watershed infarction. Cephalalgia 1993;13:427–430.CrossRef Jackson M, Lennox G, Jaspan T, Jefferson D. Migraine angiitis precipitated by sex headache and leading to watershed infarction. Cephalalgia 1993;13:427–430.CrossRef
10.
Zurück zum Zitat Raroque HG Jr, Tesfa G, Purdy P. Postpartum cerebral angiopathy. Is there a role for sympathomimetic drugs? Stroke 1993;24:2108–2110.CrossRef Raroque HG Jr, Tesfa G, Purdy P. Postpartum cerebral angiopathy. Is there a role for sympathomimetic drugs? Stroke 1993;24:2108–2110.CrossRef
11.
Zurück zum Zitat Razavi M, Bendixen B, Maley JE, et al. CNS pseudovasculitis in a patient with pheochromocytoma. Neurology 1999;52:1088–1090.CrossRef Razavi M, Bendixen B, Maley JE, et al. CNS pseudovasculitis in a patient with pheochromocytoma. Neurology 1999;52:1088–1090.CrossRef
12.
Zurück zum Zitat Solomon S, Lipton RB, Harris PY. Arterial stenosis in migraine: spasm or arteriopathy? Headache 1990;30:52–61.CrossRef Solomon S, Lipton RB, Harris PY. Arterial stenosis in migraine: spasm or arteriopathy? Headache 1990;30:52–61.CrossRef
13.
Zurück zum Zitat Ducros A. Reversible cerebral vasoconstriction syndrome. Handb Clin Neurol 2014;121:1725–1741.CrossRef Ducros A. Reversible cerebral vasoconstriction syndrome. Handb Clin Neurol 2014;121:1725–1741.CrossRef
14.
Zurück zum Zitat Kirton A, Diggle J, Hu W, Wirrell E. A pediatric case of reversible segmental cerebral vasoconstriction. Can J Neurol Sci 2006;33:250–253.CrossRef Kirton A, Diggle J, Hu W, Wirrell E. A pediatric case of reversible segmental cerebral vasoconstriction. Can J Neurol Sci 2006;33:250–253.CrossRef
15.
Zurück zum Zitat Ducros A, Boukobza M, Porcher R, Sarov M, Valade D, Bousser MG. The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome. A prospective series of 67 patients. Brain 2007;130:3091–3101.CrossRef Ducros A, Boukobza M, Porcher R, Sarov M, Valade D, Bousser MG. The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome. A prospective series of 67 patients. Brain 2007;130:3091–3101.CrossRef
16.
Zurück zum Zitat Ducros A. Reversible cerebral vasoconstriction syndrome. Lancet Neurol 2012;11:906–917.CrossRef Ducros A. Reversible cerebral vasoconstriction syndrome. Lancet Neurol 2012;11:906–917.CrossRef
17.
Zurück zum Zitat Fugate JE, Ameriso SF, Ortiz G, Schottlaender LV, Wijdicks EFM, Flemming KD, Rabinstein AA. Variable presentations of postpartum angiopathy. Stroke 2012;43:670–676.CrossRef Fugate JE, Ameriso SF, Ortiz G, Schottlaender LV, Wijdicks EFM, Flemming KD, Rabinstein AA. Variable presentations of postpartum angiopathy. Stroke 2012;43:670–676.CrossRef
18.
Zurück zum Zitat Modi M, Modi G. Postpartum cerebral angiopathy in a patient with chronic migraine with aura. Headache 2000;40:677–681.CrossRef Modi M, Modi G. Postpartum cerebral angiopathy in a patient with chronic migraine with aura. Headache 2000;40:677–681.CrossRef
19.
Zurück zum Zitat Müller R, Meier O, Haberl RL. Reversible cerebral vasoconstriction syndrome after preeclampsia. Perspectives in Medicine 2012;1:443–445.CrossRef Müller R, Meier O, Haberl RL. Reversible cerebral vasoconstriction syndrome after preeclampsia. Perspectives in Medicine 2012;1:443–445.CrossRef
20.
Zurück zum Zitat Janssens E, Ommel M, Mounier-Vehier F, Leclerc X, Guerin du Masgenet B, Leys D. Postpartum cerebral angiopathy possibly due to bromocriptrine therapy. Stroke 1995;26:128–130.CrossRef Janssens E, Ommel M, Mounier-Vehier F, Leclerc X, Guerin du Masgenet B, Leys D. Postpartum cerebral angiopathy possibly due to bromocriptrine therapy. Stroke 1995;26:128–130.CrossRef
21.
Zurück zum Zitat Henry PY, Larre P, Aupy M, Lafforgue JL, Orgogozo JM. Reversible cerebral arteriopathy associated with the administration of ergot derivates. Cephalalgia 1984;4(3):171–178.CrossRef Henry PY, Larre P, Aupy M, Lafforgue JL, Orgogozo JM. Reversible cerebral arteriopathy associated with the administration of ergot derivates. Cephalalgia 1984;4(3):171–178.CrossRef
22.
Zurück zum Zitat John S, Donnelly M, Uchino K. Catastrophic reversible cerebral vasoconstriction syndrome associated with serotonin syndrome. Headache 2013;53:1482–1487.PubMed John S, Donnelly M, Uchino K. Catastrophic reversible cerebral vasoconstriction syndrome associated with serotonin syndrome. Headache 2013;53:1482–1487.PubMed
23.
Zurück zum Zitat Wardrope KE, Manson L, Metcalfe W, Sullivan ED. Acute respiratory distress syndrome and posterior reversible encephalopathy syndrome following rituximab therapy. Case rep Nephrol Dial 2016;24:32–39.CrossRef Wardrope KE, Manson L, Metcalfe W, Sullivan ED. Acute respiratory distress syndrome and posterior reversible encephalopathy syndrome following rituximab therapy. Case rep Nephrol Dial 2016;24:32–39.CrossRef
24.
Zurück zum Zitat Martin K, Rogers T, Kavanaugh A. central nervous system angiopathy associated with cocaine abuse. J rheumatol 1995;22:780–782.PubMed Martin K, Rogers T, Kavanaugh A. central nervous system angiopathy associated with cocaine abuse. J rheumatol 1995;22:780–782.PubMed
25.
Zurück zum Zitat Mateo I, Pinedo A, Gomez-Beldarrain M, Basterretxea JM, Garcia-Monco JC. Recurrent stroke associated with cannabis use. J Neurol Neurosurg Psychiatry 2005;76:435–437.CrossRef Mateo I, Pinedo A, Gomez-Beldarrain M, Basterretxea JM, Garcia-Monco JC. Recurrent stroke associated with cannabis use. J Neurol Neurosurg Psychiatry 2005;76:435–437.CrossRef
26.
Zurück zum Zitat Calic Z, Choong H, Schlaphoff G, Cappelen-Smith C. Reversible cerebral vasoconstriction following indomethacin. Cephalalgia 2014;34:1181–1186.CrossRef Calic Z, Choong H, Schlaphoff G, Cappelen-Smith C. Reversible cerebral vasoconstriction following indomethacin. Cephalalgia 2014;34:1181–1186.CrossRef
27.
Zurück zum Zitat Loewen AH, Hudon ME, Hill MD. Thunderclap headache and reversible segmental cerebral vasoconstriction associated with use of oxymetazoline nasal spray. CMAJ 2004;171:593–594.CrossRef Loewen AH, Hudon ME, Hill MD. Thunderclap headache and reversible segmental cerebral vasoconstriction associated with use of oxymetazoline nasal spray. CMAJ 2004;171:593–594.CrossRef
28.
Zurück zum Zitat Soo Y, Singhal AB, Leung T, Yu S, Mak H, Hao Q, Leung H, Lam W, Wong LK. Reversible cerebral vasoconstriction syndrome with posterior leucoencephalopathy after oral contraceptive pills. Cephalalgia 2010;30:42–45.CrossRef Soo Y, Singhal AB, Leung T, Yu S, Mak H, Hao Q, Leung H, Lam W, Wong LK. Reversible cerebral vasoconstriction syndrome with posterior leucoencephalopathy after oral contraceptive pills. Cephalalgia 2010;30:42–45.CrossRef
29.
Zurück zum Zitat Wolff V, Ducros A. Reversible cerebral vasoconstriction syndrome without typical thunderclap headache. Headache 2016;4:674–687.CrossRef Wolff V, Ducros A. Reversible cerebral vasoconstriction syndrome without typical thunderclap headache. Headache 2016;4:674–687.CrossRef
30.
Zurück zum Zitat Walsh RD, Floyd JP, Eidelman BH, Barrett KM. Balint syndrome and visual allochiria in a patient with reversible cerebral vasoconstriction syndrome. J Neuroophthalmol 2012;32:302–306.CrossRef Walsh RD, Floyd JP, Eidelman BH, Barrett KM. Balint syndrome and visual allochiria in a patient with reversible cerebral vasoconstriction syndrome. J Neuroophthalmol 2012;32:302–306.CrossRef
31.
Zurück zum Zitat Hajj-Ali RA, Furlan A, Abou-Chebel A, Calabrese LH. Benign angiopathy of the central nervous system: cohort of 16 patients with clinical course and long-term follow-up. Arthritis Rheum 2002;47:662–669.CrossRef Hajj-Ali RA, Furlan A, Abou-Chebel A, Calabrese LH. Benign angiopathy of the central nervous system: cohort of 16 patients with clinical course and long-term follow-up. Arthritis Rheum 2002;47:662–669.CrossRef
32.
Zurück zum Zitat Singhal AB, Ducros A. Reversible cerebral vasoconstriction syndromes.In: Mohr JP, Wolf PA, Grotta JC, Moskowitz MA, Mayberg MR, Kumar VR, eds. Stroke (Fifth edn.). Saint Louis: W.B.Saunders 2011;765–771.CrossRef Singhal AB, Ducros A. Reversible cerebral vasoconstriction syndromes.In: Mohr JP, Wolf PA, Grotta JC, Moskowitz MA, Mayberg MR, Kumar VR, eds. Stroke (Fifth edn.). Saint Louis: W.B.Saunders 2011;765–771.CrossRef
33.
Zurück zum Zitat Chen SP, Wang YF, Huang PH, Chi CW, Fuh JL, Wang SJ. Reduced circulating endothelial progenitor cells in reversible cerebral vasoconstriction syndrome. J headache pain 2014;15:82–88.CrossRef Chen SP, Wang YF, Huang PH, Chi CW, Fuh JL, Wang SJ. Reduced circulating endothelial progenitor cells in reversible cerebral vasoconstriction syndrome. J headache pain 2014;15:82–88.CrossRef
34.
Zurück zum Zitat Liman TG, Bachelier-Walenta K, Neeb L, et al. Circulating endothelial microparticles in female migraineurs with aura. Cephalalgia 2015;35:88–94.CrossRef Liman TG, Bachelier-Walenta K, Neeb L, et al. Circulating endothelial microparticles in female migraineurs with aura. Cephalalgia 2015;35:88–94.CrossRef
35.
Zurück zum Zitat Salem M, Kamal S, El Sherbiny W, Abdel Aal AA. Flow cytometric assessment of endothelial and platelet microparticles in preeclampsia and their relation to disease severity and Doppler parameters. Hematology 2015;20:154–159.CrossRef Salem M, Kamal S, El Sherbiny W, Abdel Aal AA. Flow cytometric assessment of endothelial and platelet microparticles in preeclampsia and their relation to disease severity and Doppler parameters. Hematology 2015;20:154–159.CrossRef
36.
Zurück zum Zitat Chen SP, Fuh JL, Wang SJ, Tsai SJ, Hong CJ, Yang AC. Brain-derived neurotrophic factor gene Val66Met polymorphism modulates reversible cerebral vasoconstriction syndromes. PLoS One 2011;18:18024–18029.CrossRef Chen SP, Fuh JL, Wang SJ, Tsai SJ, Hong CJ, Yang AC. Brain-derived neurotrophic factor gene Val66Met polymorphism modulates reversible cerebral vasoconstriction syndromes. PLoS One 2011;18:18024–18029.CrossRef
37.
Zurück zum Zitat Singhal AB, Hajj-Ali R, Topcuoglu MA, Fok J, Bena J, Yang D, Calabrese LH. Reversible cerebral vasoconstriction syndromes. Analysis of 139 cases. Arch Neurol 2011;68:1005–1012.CrossRef Singhal AB, Hajj-Ali R, Topcuoglu MA, Fok J, Bena J, Yang D, Calabrese LH. Reversible cerebral vasoconstriction syndromes. Analysis of 139 cases. Arch Neurol 2011;68:1005–1012.CrossRef
38.
Zurück zum Zitat Ghia D, Cuganesan R, Cappelen-Smith C. Delayed angiographic changes in postpartum cerebral angiography. J Clin Neurosci 2011;18:435–436.CrossRef Ghia D, Cuganesan R, Cappelen-Smith C. Delayed angiographic changes in postpartum cerebral angiography. J Clin Neurosci 2011;18:435–436.CrossRef
39.
Zurück zum Zitat Chen SP, Fuh JL, Chang FC, Lirng JF, Shia BC, Wang SJ. Transcranial color doppler study for reversible cerebral vasoconstriction syndromes. Ann Neurol 2008;63:751–757.CrossRef Chen SP, Fuh JL, Chang FC, Lirng JF, Shia BC, Wang SJ. Transcranial color doppler study for reversible cerebral vasoconstriction syndromes. Ann Neurol 2008;63:751–757.CrossRef
40.
Zurück zum Zitat Kubo S, Nakata H, Tatsumi T, Yoshimine T. Headache associated with postpartum angiopathy: Monitoring with transcranial color-codes sonography. Hedache 2002;42:297–300.CrossRef Kubo S, Nakata H, Tatsumi T, Yoshimine T. Headache associated with postpartum angiopathy: Monitoring with transcranial color-codes sonography. Hedache 2002;42:297–300.CrossRef
41.
Zurück zum Zitat Sixt GJ, Diener HC. Thunderclap headache. Aktuelle Neurologie 2003;30:1–7.CrossRef Sixt GJ, Diener HC. Thunderclap headache. Aktuelle Neurologie 2003;30:1–7.CrossRef
42.
Zurück zum Zitat Krämer M, Berlit P. Reversibles zerebrales Vasokonstriktionssyndrom vs. zerebrale Vaskulitis. Nervenarzt 2011;82:500–505.CrossRef Krämer M, Berlit P. Reversibles zerebrales Vasokonstriktionssyndrom vs. zerebrale Vaskulitis. Nervenarzt 2011;82:500–505.CrossRef
43.
Zurück zum Zitat Lamy C, Oppenheim C, Mas JL. Posterior reversible encephalopathy syndrome. Handb Clin Neurol 2014;121:1687–1701.CrossRef Lamy C, Oppenheim C, Mas JL. Posterior reversible encephalopathy syndrome. Handb Clin Neurol 2014;121:1687–1701.CrossRef
44.
Zurück zum Zitat Lee VH, Wijdicks EF, Manno EM, Rabinstein AA. Clinical spectrum of reversible posterior leucoencephalopathy syndrome. Arch neurol 2008;65:205–210.PubMed Lee VH, Wijdicks EF, Manno EM, Rabinstein AA. Clinical spectrum of reversible posterior leucoencephalopathy syndrome. Arch neurol 2008;65:205–210.PubMed
45.
Zurück zum Zitat Staykov D, Schwab S. Posterior reversible encephalopathy syndrome. J Intensive Care med 2012;27:11–24.CrossRef Staykov D, Schwab S. Posterior reversible encephalopathy syndrome. J Intensive Care med 2012;27:11–24.CrossRef
46.
Zurück zum Zitat Bayer-Karpinska A, Patzig M, Adamczyk C et al. Reversible cerebral vasoconstriction syndrome with concurrent bilateral carotid artery dissection. Cephalalgia 2013;33:491–495.CrossRef Bayer-Karpinska A, Patzig M, Adamczyk C et al. Reversible cerebral vasoconstriction syndrome with concurrent bilateral carotid artery dissection. Cephalalgia 2013;33:491–495.CrossRef
47.
Zurück zum Zitat McKinney JS, Messé SR, Pukenas BA, Satti SR, Weigele JB, Hurst RW, Levine JM, Kasner SE, Sansing LH. Intracranial vertebrobasilar artery dissection associated with postpartum angiopathy. Stroke Res Treat. 2010; Article ID 320627,5 pages. McKinney JS, Messé SR, Pukenas BA, Satti SR, Weigele JB, Hurst RW, Levine JM, Kasner SE, Sansing LH. Intracranial vertebrobasilar artery dissection associated with postpartum angiopathy. Stroke Res Treat. 2010; Article ID 320627,5 pages.
48.
Zurück zum Zitat Mitchell LA, Santarelli JG, Singh IP, Do HM, et al. Reversible cerebral vasoconstriction syndrome and bilateral vertebral artery dissection presenting in a patient after caesarean section. J Neurointerv Surg 2014;6:5–8.CrossRef Mitchell LA, Santarelli JG, Singh IP, Do HM, et al. Reversible cerebral vasoconstriction syndrome and bilateral vertebral artery dissection presenting in a patient after caesarean section. J Neurointerv Surg 2014;6:5–8.CrossRef
49.
Zurück zum Zitat Nouh A, Ruland S, Schneck MJ, Pasquale D, Biller J. Reversible cerebral vasoconstriction syndrome with multivessel cervical artery dissections and a double aortic arch. J Stroke Cerebrovasc Dis. 2014;23:e141–e143.CrossRef Nouh A, Ruland S, Schneck MJ, Pasquale D, Biller J. Reversible cerebral vasoconstriction syndrome with multivessel cervical artery dissections and a double aortic arch. J Stroke Cerebrovasc Dis. 2014;23:e141–e143.CrossRef
50.
Zurück zum Zitat Mawet J, Debette S, Bousser MG, Ducros A. The link between migraine, reversible cerebral vasoconstriction syndrome and cervical artery dissection. Headache 2016;56:645–656.CrossRef Mawet J, Debette S, Bousser MG, Ducros A. The link between migraine, reversible cerebral vasoconstriction syndrome and cervical artery dissection. Headache 2016;56:645–656.CrossRef
51.
Zurück zum Zitat Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol 2009;8:668–678.CrossRef Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol 2009;8:668–678.CrossRef
52.
Zurück zum Zitat Lu SR, Liao YC, Fuh JL, Lirng JF, Wang SJ. Nimodipine for treatment of primary thunderclap headache. Neurology 2004;62:1414–1416.CrossRef Lu SR, Liao YC, Fuh JL, Lirng JF, Wang SJ. Nimodipine for treatment of primary thunderclap headache. Neurology 2004;62:1414–1416.CrossRef
53.
Zurück zum Zitat Singhal AB. Postpartum angiopathy with reversible posterior leucoencephalopathy. Arch Neurol 2004;61:411–416.CrossRef Singhal AB. Postpartum angiopathy with reversible posterior leucoencephalopathy. Arch Neurol 2004;61:411–416.CrossRef
54.
Zurück zum Zitat Farid H, Tatum JK, Wong C, Halbach VV, Hetts SW. Reversible cerebral vasoconstriction syndrome treatment with combined intra-arterial verapamil infusion and intracranial angioplasty. Am J Neuroradiol 2011;32:E184–187.CrossRef Farid H, Tatum JK, Wong C, Halbach VV, Hetts SW. Reversible cerebral vasoconstriction syndrome treatment with combined intra-arterial verapamil infusion and intracranial angioplasty. Am J Neuroradiol 2011;32:E184–187.CrossRef
55.
Zurück zum Zitat Ioannidis I, Nasis Nm Agianniotaki A, katsouda E, Andreou A. Reversible cerebral vasoconstriction syndrome: treatment with multiple sessions of intra-arterial nimodipine and angioplasty. Interv Neuroradiol 2012;18:297–302.CrossRef Ioannidis I, Nasis Nm Agianniotaki A, katsouda E, Andreou A. Reversible cerebral vasoconstriction syndrome: treatment with multiple sessions of intra-arterial nimodipine and angioplasty. Interv Neuroradiol 2012;18:297–302.CrossRef
56.
Zurück zum Zitat Linn J, Fesl G, Ottomeyer C, Straube A, Dichgans M, Bruckmann H, Pfefferkorn T. Intra-arterial application of nimodipine in reversible cerebral vasoconstriction syndrome: a diagnostic tool in select cases? Cephalalgia 2011;31:1074–1081.CrossRef Linn J, Fesl G, Ottomeyer C, Straube A, Dichgans M, Bruckmann H, Pfefferkorn T. Intra-arterial application of nimodipine in reversible cerebral vasoconstriction syndrome: a diagnostic tool in select cases? Cephalalgia 2011;31:1074–1081.CrossRef
Metadaten
Titel
Wichtige Differenzialdiagnose bei akut einsetzenden Cephalgien
Das reversible zerebrale Vasokonstriktionssyndrom
verfasst von
Dr. med. Gabriele Johanna Sixt
Dr. med. Susanne Büchner
Dr. med. Monika Wallnöfer
Dr. med. Giuseppe Roscia
Publikationsdatum
16.03.2018
Verlag
Springer Medizin
Erschienen in
InFo Neurologie + Psychiatrie / Ausgabe 3/2018
Print ISSN: 1437-062X
Elektronische ISSN: 2195-5166
DOI
https://doi.org/10.1007/s15005-018-2367-6

Weitere Artikel der Ausgabe 3/2018

InFo Neurologie + Psychiatrie 3/2018 Zur Ausgabe

Neu in den Fachgebieten Neurologie und Psychiatrie