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Erschienen in: Current Pain and Headache Reports 9/2014

01.09.2014 | Secondary Headache (K Henry and M Robbins, Section Editors)

Reversible Cerebral Vasoconstriction Syndrome: a Comprehensive Update

verfasst von: Ali Mehdi, Rula A. Hajj-Ali

Erschienen in: Current Pain and Headache Reports | Ausgabe 9/2014

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Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is a clinico-radiological syndrome characterized by recurrent thunderclap headache, with or without neurologic symptoms, and reversible vasoconstriction of cerebral arteries. RCVS affects patients in various racial and ethnic groups and in all age groups, although most commonly in the fourth decade of life. Many conditions and exposures have been linked to RCVS, including vasoactive drugs and the peripartum period. Disturbance of the cerebral vascular tone is thought to contribute to the disease’s pathophysiology. RCVS generally follows a monophasic course. Associated strokes and cerebral hemorrhages are not uncommon. In this review we will attempt to provide a comprehensive overview of RCVS, with emphasis on the controversies in the field and the newest findings in the reported literature.
Literatur
2.
Zurück zum Zitat Dukes HT, Vieth RG. Cerebral Arteriography during Migraine Prodrome and Headache. Neurology. 1964;14:636–9.PubMedCrossRef Dukes HT, Vieth RG. Cerebral Arteriography during Migraine Prodrome and Headache. Neurology. 1964;14:636–9.PubMedCrossRef
3.
Zurück zum Zitat Serdaru M, Chiras J, Cujas M, Lhermitte F. Isolated benign cerebral vasculitis or migrainous vasospasm? J Neurol Neurosurg Psychiatry. 1984;47(1):73–6.PubMedCentralPubMedCrossRef Serdaru M, Chiras J, Cujas M, Lhermitte F. Isolated benign cerebral vasculitis or migrainous vasospasm? J Neurol Neurosurg Psychiatry. 1984;47(1):73–6.PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Cole AJ, Aube M. Migraine with vasospasm and delayed intracerebral hemorrhage. Arch Neurol. 1990;47(1):53–6.PubMedCrossRef Cole AJ, Aube M. Migraine with vasospasm and delayed intracerebral hemorrhage. Arch Neurol. 1990;47(1):53–6.PubMedCrossRef
5.
Zurück zum Zitat Silbert PL, Hankey GJ, Prentice DA, Apsimon HT. Angiographically demonstrated arterial spasm in a case of benign sexual headache and benign exertional headache. Aust NZ J Med. 1989;19(5):466–8.CrossRef Silbert PL, Hankey GJ, Prentice DA, Apsimon HT. Angiographically demonstrated arterial spasm in a case of benign sexual headache and benign exertional headache. Aust NZ J Med. 1989;19(5):466–8.CrossRef
6.
Zurück zum Zitat Will AD, Lewis KL, Hinshaw Jr DB, Jordan K, Cousins LM, Hasso AN, et al. Cerebral vasoconstriction in toxemia. Neurology. 1987;37(9):1555–7.PubMedCrossRef Will AD, Lewis KL, Hinshaw Jr DB, Jordan K, Cousins LM, Hasso AN, et al. Cerebral vasoconstriction in toxemia. Neurology. 1987;37(9):1555–7.PubMedCrossRef
7.
Zurück zum Zitat Trommer BL, Homer D, Mikhael MA. Cerebral vasospasm and eclampsia. Stroke J Cereb Circ. 1988;19(3):326–9.CrossRef Trommer BL, Homer D, Mikhael MA. Cerebral vasospasm and eclampsia. Stroke J Cereb Circ. 1988;19(3):326–9.CrossRef
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(2):102–5.PubMedCrossRef Bogousslavsky J, Despland PA, Regli F, Dubuis PY. Postpartum cerebral angiopathy: reversible vasoconstriction assessed by transcranial Doppler ultrasounds. Eur Neurol. 1989;29(2):102–5.PubMedCrossRef
9.
Zurück zum Zitat Day JW, Raskin NH. Thunderclap headache: symptom of unruptured cerebral aneurysm. Lancet. 1986;2(8518):1247–8.PubMed Day JW, Raskin NH. Thunderclap headache: symptom of unruptured cerebral aneurysm. Lancet. 1986;2(8518):1247–8.PubMed
11.
Zurück zum Zitat Henry PY, Larre P, Aupy M, Lafforgue JL, Orgogozo JM. Reversible cerebral arteriopathy associated with the administration of ergot derivatives. Cephalalgia Int J Headache. 1984;4(3):171–8.CrossRef Henry PY, Larre P, Aupy M, Lafforgue JL, Orgogozo JM. Reversible cerebral arteriopathy associated with the administration of ergot derivatives. Cephalalgia Int J Headache. 1984;4(3):171–8.CrossRef
12.
Zurück zum Zitat Stoessl AJ, Young GB, Feasby TE. Intracerebral haemorrhage and angiographic beading following ingestion of catecholaminergics. Stroke J Cereb Circ. 1985;16(4):734–6.CrossRef Stoessl AJ, Young GB, Feasby TE. Intracerebral haemorrhage and angiographic beading following ingestion of catecholaminergics. Stroke J Cereb Circ. 1985;16(4):734–6.CrossRef
13.
Zurück zum Zitat Hyde-Rowan MD, Roessmann U, Brodkey JS. Vasospasm following transsphenoidal tumor removal associated with the arterial changes of oral contraception. Surg Neurol. 1983;20(2):120–4.PubMedCrossRef Hyde-Rowan MD, Roessmann U, Brodkey JS. Vasospasm following transsphenoidal tumor removal associated with the arterial changes of oral contraception. Surg Neurol. 1983;20(2):120–4.PubMedCrossRef
15.
Zurück zum Zitat Rousseaux P, Scherpereel B, Bernard MH, Guyot JF. Acute benign cerebral angiopathy. 6 cases. Presse Med. 1983;12(35):2163–8.PubMed Rousseaux P, Scherpereel B, Bernard MH, Guyot JF. Acute benign cerebral angiopathy. 6 cases. Presse Med. 1983;12(35):2163–8.PubMed
16.
Zurück zum Zitat Call GK, Fleming MC, Sealfon S, Levine H, Kistler JP, Fisher CM. Reversible cerebral segmental vasoconstriction. Stroke J Cereb Circ. 1988;19(9):1159–70.CrossRef Call GK, Fleming MC, Sealfon S, Levine H, Kistler JP, Fisher CM. Reversible cerebral segmental vasoconstriction. Stroke J Cereb Circ. 1988;19(9):1159–70.CrossRef
18.
Zurück zum Zitat Jackson M, Lennox G, Jaspan T, Jefferson D. Migraine angiitis precipitated by sex headache and leading to watershed infarction. Cephalalgia Int J Headache. 1993;13(6):427–30.CrossRef Jackson M, Lennox G, Jaspan T, Jefferson D. Migraine angiitis precipitated by sex headache and leading to watershed infarction. Cephalalgia Int J Headache. 1993;13(6):427–30.CrossRef
19.
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 followup. Arthritis Rheum. 2002;47(6):662–9. doi:10.1002/art.10797.PubMedCrossRef 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 followup. Arthritis Rheum. 2002;47(6):662–9. doi:10.​1002/​art.​10797.PubMedCrossRef
20.
Zurück zum Zitat Razavi M, Bendixen B, Maley JE, Shoaib M, Zargarian M, Razavi B, et al. CNS pseudovasculitis in a patient with pheochromocytoma. Neurology. 1999;52(5):1088–90.PubMedCrossRef Razavi M, Bendixen B, Maley JE, Shoaib M, Zargarian M, Razavi B, et al. CNS pseudovasculitis in a patient with pheochromocytoma. Neurology. 1999;52(5):1088–90.PubMedCrossRef
21.••
Zurück zum Zitat Calabrese LH, Dodick DW, Schwedt TJ, Singhal AB. Narrative review: reversible cerebral vasoconstriction syndromes. Ann Intern Med. 2007;146(1):34–44. Landmark article, where the term RCVS was introduced to the literature.PubMedCrossRef Calabrese LH, Dodick DW, Schwedt TJ, Singhal AB. Narrative review: reversible cerebral vasoconstriction syndromes. Ann Intern Med. 2007;146(1):34–44. Landmark article, where the term RCVS was introduced to the literature.PubMedCrossRef
22.••
Zurück zum Zitat Singhal AB, Hajj-Ali RA, Topcuoglu MA, Fok J, Bena J, Yang D, et al. Reversible cerebral vasoconstriction syndromes: analysis of 139 cases. Arch Neurol. 2011;68(8):1005–12. doi:10.1001/archneurol.2011.68. Excellent retrospective analysis of the largest RCVS cohort to date.PubMedCrossRef Singhal AB, Hajj-Ali RA, Topcuoglu MA, Fok J, Bena J, Yang D, et al. Reversible cerebral vasoconstriction syndromes: analysis of 139 cases. Arch Neurol. 2011;68(8):1005–12. doi:10.​1001/​archneurol.​2011.​68. Excellent retrospective analysis of the largest RCVS cohort to date.PubMedCrossRef
23.••
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 J Neurol. 2007;130(Pt 12):3091–101. doi:10.1093/brain/awm256. A prospective registry of RCVS patients.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 J Neurol. 2007;130(Pt 12):3091–101. doi:10.​1093/​brain/​awm256. A prospective registry of RCVS patients.CrossRef
28.•
Zurück zum Zitat Cheng YC, Kuo KH, Lai TH. A common cause of sudden and thunderclap headaches: reversible cerebral vasoconstriction syndrome. J Headache Pain. 2014;15(1):13. doi:10.1186/1129-2377-15-13. New taiwanese cohort of sudden acute headache patients showing that RCVS is the diagnosis in around 45% of patients.PubMedCentralPubMedCrossRef Cheng YC, Kuo KH, Lai TH. A common cause of sudden and thunderclap headaches: reversible cerebral vasoconstriction syndrome. J Headache Pain. 2014;15(1):13. doi:10.​1186/​1129-2377-15-13. New taiwanese cohort of sudden acute headache patients showing that RCVS is the diagnosis in around 45% of patients.PubMedCentralPubMedCrossRef
32.
Zurück zum Zitat Sato S, Shimizu M, Endo K, Homma M, Yamamoto T. [Postpartum cerebral angiopathy–a case report the vasculopathy associated with co-administration of two vasoconstrictives, methylergometrine maleate and sumatriptan]. Rinsho Shinkeigaku Clin Neurol. 2004;44(2):96–101. Sato S, Shimizu M, Endo K, Homma M, Yamamoto T. [Postpartum cerebral angiopathy–a case report the vasculopathy associated with co-administration of two vasoconstrictives, methylergometrine maleate and sumatriptan]. Rinsho Shinkeigaku Clin Neurol. 2004;44(2):96–101.
35.
36.•
Zurück zum Zitat Chen SP, Fuh JL, Wang SJ, Chang FC, Lirng JF, Fang YC, et al. Magnetic resonance angiography in reversible cerebral vasoconstriction syndromes. Ann Neurol. 2010;67(5):648–56. doi:10.1002/ana.21951. New taiwanese cohort of sudden acute headache patients showing that RCVS is the diagnosis in around 45% of patients.PubMed Chen SP, Fuh JL, Wang SJ, Chang FC, Lirng JF, Fang YC, et al. Magnetic resonance angiography in reversible cerebral vasoconstriction syndromes. Ann Neurol. 2010;67(5):648–56. doi:10.​1002/​ana.​21951. New taiwanese cohort of sudden acute headache patients showing that RCVS is the diagnosis in around 45% of patients.PubMed
38.
Zurück zum Zitat Geraghty JJ, Hoch DB, Robert ME, Vinters HV. Fatal puerperal cerebral vasospasm and stroke in a young woman. Neurology. 1991;41(7):1145–7.PubMedCrossRef Geraghty JJ, Hoch DB, Robert ME, Vinters HV. Fatal puerperal cerebral vasospasm and stroke in a young woman. Neurology. 1991;41(7):1145–7.PubMedCrossRef
42.••
Zurück zum Zitat Ducros A, Fiedler U, Porcher R, Boukobza M, Stapf C, Bousser MG. Hemorrhagic manifestations of reversible cerebral vasoconstriction syndrome: frequency, features, and risk factors. Stroke J Cereb Circ. 2010;41(11):2505–11. doi:10.1161/STROKEAHA.109.572313. Excellent detailed description of the hemorrhagic manifestations in RCVS patients of a relatively large French cohort.CrossRef Ducros A, Fiedler U, Porcher R, Boukobza M, Stapf C, Bousser MG. Hemorrhagic manifestations of reversible cerebral vasoconstriction syndrome: frequency, features, and risk factors. Stroke J Cereb Circ. 2010;41(11):2505–11. doi:10.​1161/​STROKEAHA.​109.​572313. Excellent detailed description of the hemorrhagic manifestations in RCVS patients of a relatively large French cohort.CrossRef
43.
Zurück zum Zitat Verillaud B, Ducros A, Massiou H, Huy PT, Bousser MG, Herman P. Reversible cerebral vasoconstriction syndrome in two patients with a carotid glomus tumour. Cephalalgia Int J Headache. 2010;30(10):1271–5. doi:10.1177/0333102410365107.CrossRef Verillaud B, Ducros A, Massiou H, Huy PT, Bousser MG, Herman P. Reversible cerebral vasoconstriction syndrome in two patients with a carotid glomus tumour. Cephalalgia Int J Headache. 2010;30(10):1271–5. doi:10.​1177/​0333102410365107​.CrossRef
44.
Zurück zum Zitat Marder CP, Donohue MM, Weinstein JR, Fink KR. Multimodal imaging of reversible cerebral vasoconstriction syndrome: a series of 6 cases. AJNR Am J Neuroradiol. 2012;33(7):1403–10. doi:10.3174/ajnr.A2964.PubMedCrossRef Marder CP, Donohue MM, Weinstein JR, Fink KR. Multimodal imaging of reversible cerebral vasoconstriction syndrome: a series of 6 cases. AJNR Am J Neuroradiol. 2012;33(7):1403–10. doi:10.​3174/​ajnr.​A2964.PubMedCrossRef
46.
Zurück zum Zitat Slivka A, Philbrook B. Clinical and angiographic features of thunderclap headache. Headache. 1995;35(1):1–6.PubMedCrossRef Slivka A, Philbrook B. Clinical and angiographic features of thunderclap headache. Headache. 1995;35(1):1–6.PubMedCrossRef
47.
Zurück zum Zitat Dodick DW, Brown Jr RD, Britton JW, Huston 3rd J. Nonaneurysmal thunderclap headache with diffuse, multifocal, segmental, and reversible vasospasm. Cephalalgia Int J Headache. 1999;19(2):118–23.CrossRef Dodick DW, Brown Jr RD, Britton JW, Huston 3rd J. Nonaneurysmal thunderclap headache with diffuse, multifocal, segmental, and reversible vasospasm. Cephalalgia Int J Headache. 1999;19(2):118–23.CrossRef
48.
51.
Zurück zum Zitat John S CL, Tepper S Stillman M , Uchino k , Hajj-Ali RA. Long-term outcomes of patients with Reversible Cerebral Vasoconstriction Syndrome (RCVS). 2012. American College of Rheumatology , Annual Meeting, [Abstract]. John S CL, Tepper S Stillman M , Uchino k , Hajj-Ali RA. Long-term outcomes of patients with Reversible Cerebral Vasoconstriction Syndrome (RCVS). 2012. American College of Rheumatology , Annual Meeting, [Abstract].
53.•
Zurück zum Zitat Tariq Hammad LC, Uchino K, Seby J, Stillman M, Tepper S, Erzurum S et al. Hajj-Ali Enothelin-1 plays a role in the pathogenesis of Reversible Cerebral Vasoconstriction Syndrome. [Original research]. American College of Rheumatology , Annual Meeting, [Abstract] 2013. First study to suggest a role for endothelin-1 in the pathogensis of RCVS. Tariq Hammad LC, Uchino K, Seby J, Stillman M, Tepper S, Erzurum S et al. Hajj-Ali Enothelin-1 plays a role in the pathogenesis of Reversible Cerebral Vasoconstriction Syndrome. [Original research]. American College of Rheumatology , Annual Meeting, [Abstract] 2013. First study to suggest a role for endothelin-1 in the pathogensis of RCVS.
54.•
Zurück zum Zitat Chen SP, Chung YT, Liu TY, Wang YF, Fuh JL, Wang SJ. Oxidative stress and increased formation of vasoconstricting F2-isoprostanes in patients with reversible cerebral vasoconstriction syndrome. Free Radic Biol Med. 2013;61C:243–8. doi:10.1016/j.freeradbiomed.2013.04.022. Interesting study demonstrating a possible role of oxidative stress in RCVS pathogenesis.PubMedCrossRef Chen SP, Chung YT, Liu TY, Wang YF, Fuh JL, Wang SJ. Oxidative stress and increased formation of vasoconstricting F2-isoprostanes in patients with reversible cerebral vasoconstriction syndrome. Free Radic Biol Med. 2013;61C:243–8. doi:10.​1016/​j.​freeradbiomed.​2013.​04.​022. Interesting study demonstrating a possible role of oxidative stress in RCVS pathogenesis.PubMedCrossRef
55.•
Zurück zum Zitat Chen SP, Yang AC, Fuh JL, Wang SJ. Autonomic dysfunction in reversible cerebral vasoconstriction syndromes. J Headache Pain. 2013;14(1):94. doi:10.1186/1129-2377-14-94. Very interesting study demonstrating the attenuated parasympathetic and heightened sympathetic tone in RCVS patients.PubMedCrossRef Chen SP, Yang AC, Fuh JL, Wang SJ. Autonomic dysfunction in reversible cerebral vasoconstriction syndromes. J Headache Pain. 2013;14(1):94. doi:10.​1186/​1129-2377-14-94. Very interesting study demonstrating the attenuated parasympathetic and heightened sympathetic tone in RCVS patients.PubMedCrossRef
60.
Zurück zum Zitat Zhang H, Wang X, Li X, Wu J. Reversible cerebral vasoconstriction syndrome and subarachnoid hemorrhage; which occurs first? Intern Med. 2012;51(1):135. author reply 7.PubMedCrossRef Zhang H, Wang X, Li X, Wu J. Reversible cerebral vasoconstriction syndrome and subarachnoid hemorrhage; which occurs first? Intern Med. 2012;51(1):135. author reply 7.PubMedCrossRef
62.•
Zurück zum Zitat Muehlschlegel S, Kursun O, Topcuoglu MA, Fok J, Singhal AB. Differentiating reversible cerebral vasoconstriction syndrome with subarachnoid hemorrhage from other causes of subarachnoid hemorrhage. JAMA Neurol. 2013;70(10):1254–60. doi:10.1001/jamaneurol.2013.3484. Excellent paper identifying the clinical, radiologic, and angiographic predictors of RCVS in a cofort of subarachnoid hemorrhage patients.PubMed Muehlschlegel S, Kursun O, Topcuoglu MA, Fok J, Singhal AB. Differentiating reversible cerebral vasoconstriction syndrome with subarachnoid hemorrhage from other causes of subarachnoid hemorrhage. JAMA Neurol. 2013;70(10):1254–60. doi:10.​1001/​jamaneurol.​2013.​3484. Excellent paper identifying the clinical, radiologic, and angiographic predictors of RCVS in a cofort of subarachnoid hemorrhage patients.PubMed
63.
Zurück zum Zitat Bettoni L, Juvarra G, Bortone E, Lechi A. Isolated benign cerebral vasculitis. Case report and review. Acta Neurol Belg. 1984;84(4):161–73.PubMed Bettoni L, Juvarra G, Bortone E, Lechi A. Isolated benign cerebral vasculitis. Case report and review. Acta Neurol Belg. 1984;84(4):161–73.PubMed
64.
Zurück zum Zitat Snyder BD, McClelland RR. Isolated benign cerebral vasculitis. Arch Neurol. 1978;35(9):612–4.PubMedCrossRef Snyder BD, McClelland RR. Isolated benign cerebral vasculitis. Arch Neurol. 1978;35(9):612–4.PubMedCrossRef
66.••
Zurück zum Zitat Hammad TA, Hajj-Ali RA. Primary angiitis of the central nervous system and reversible cerebral vasoconstriction syndrome. Curr Atheroscler Rep. 2013;15(8):346. doi:10.1007/s11883-013-0346-4. Excellent review article comparing and contrastng RSCVS and PACNS.PubMedCrossRef Hammad TA, Hajj-Ali RA. Primary angiitis of the central nervous system and reversible cerebral vasoconstriction syndrome. Curr Atheroscler Rep. 2013;15(8):346. doi:10.​1007/​s11883-013-0346-4. Excellent review article comparing and contrastng RSCVS and PACNS.PubMedCrossRef
68.
Zurück zum Zitat Linn J, Fesl G, Ottomeyer C, Straube A, Dichgans M, Bruckmann H, et al. Intra-arterial application of nimodipine in reversible cerebral vasoconstriction syndrome: a diagnostic tool in select cases? Cephalalgia Int J Headache. 2011;31(10):1074–81. doi:10.1177/0333102410394673.CrossRef Linn J, Fesl G, Ottomeyer C, Straube A, Dichgans M, Bruckmann H, et al. Intra-arterial application of nimodipine in reversible cerebral vasoconstriction syndrome: a diagnostic tool in select cases? Cephalalgia Int J Headache. 2011;31(10):1074–81. doi:10.​1177/​0333102410394673​.CrossRef
69.
Zurück zum Zitat Singhal AB, Kimberly WT, Schaefer PW, Hedley-Whyte ET. Case records of the Massachusetts General Hospital. Case 8-2009. A 36-year-old woman with headache, hypertension, and seizure 2weeks post partum. N Engl J Med. 2009;360(11):1126–37.PubMedCrossRef Singhal AB, Kimberly WT, Schaefer PW, Hedley-Whyte ET. Case records of the Massachusetts General Hospital. Case 8-2009. A 36-year-old woman with headache, hypertension, and seizure 2weeks post partum. N Engl J Med. 2009;360(11):1126–37.PubMedCrossRef
70.
Zurück zum Zitat Mandell DM, Matouk CC, Farb RI, Krings T, Agid R, ter Brugge K, et al. Vessel wall MRI to differentiate between reversible cerebral vasoconstriction syndrome and central nervous system vasculitis: preliminary results. Stroke J Cereb Circ. 2012;43(3):860–2.CrossRef Mandell DM, Matouk CC, Farb RI, Krings T, Agid R, ter Brugge K, et al. Vessel wall MRI to differentiate between reversible cerebral vasoconstriction syndrome and central nervous system vasculitis: preliminary results. Stroke J Cereb Circ. 2012;43(3):860–2.CrossRef
71.••
Zurück zum Zitat Obusez E C, Ferdinand H, Hajj-Ali RA,Cerejo R, Calabrese LH, Hammad T et al. High Resolution MRI Vessel Wall Imaging: Spatial and Temporal Patterns of Reversible Cerebral Vasoconstriction Syndrome and Central Nervous System Vasculitis. Am J Neuroradiol. 2014 Aug;35(8):1527-32. doi: 10.3174/ajnr.A3909. [Original research]. Very interesting study pointing towards the possible utility of vessel wall enhancement on HR-MRI in differentiating RCVS and PACNS. Obusez E C, Ferdinand H, Hajj-Ali RA,Cerejo R, Calabrese LH, Hammad T et al. High Resolution MRI Vessel Wall Imaging: Spatial and Temporal Patterns of Reversible Cerebral Vasoconstriction Syndrome and Central Nervous System Vasculitis. Am J Neuroradiol. 2014 Aug;35(8):1527-32. doi: 10.​3174/​ajnr.​A3909. [Original research]. Very interesting study pointing towards the possible utility of vessel wall enhancement on HR-MRI in differentiating RCVS and PACNS.
72.
Zurück zum Zitat Nowak DA, Rodiek SO, Henneken S, Zinner J, Schreiner R, Fuchs HH, et al. Reversible segmental cerebral vasoconstriction (Call-Fleming syndrome): are calcium channel inhibitors a potential treatment option? Cephalalgia Int J Headache. 2003;23(3):218–22.CrossRef Nowak DA, Rodiek SO, Henneken S, Zinner J, Schreiner R, Fuchs HH, et al. Reversible segmental cerebral vasoconstriction (Call-Fleming syndrome): are calcium channel inhibitors a potential treatment option? Cephalalgia Int J Headache. 2003;23(3):218–22.CrossRef
73.
Zurück zum Zitat Lu SR, Liao YC, Fuh JL, Lirng JF, Wang SJ. Nimodipine for treatment of primary thunderclap headache. Neurology. 2004;62(8):1414–6.PubMedCrossRef Lu SR, Liao YC, Fuh JL, Lirng JF, Wang SJ. Nimodipine for treatment of primary thunderclap headache. Neurology. 2004;62(8):1414–6.PubMedCrossRef
74.
Zurück zum Zitat Elstner M, Linn J, Muller-Schunk S, Straube A. Reversible cerebral vasoconstriction syndrome: a complicated clinical course treated with intra-arterial application of nimodipine. Cephalalgia Int J Headache. 2009;29(6):677–82. doi:10.1111/j.1468-2982.2008.01768.x.CrossRef Elstner M, Linn J, Muller-Schunk S, Straube A. Reversible cerebral vasoconstriction syndrome: a complicated clinical course treated with intra-arterial application of nimodipine. Cephalalgia Int J Headache. 2009;29(6):677–82. doi:10.​1111/​j.​1468-2982.​2008.​01768.​x.CrossRef
75.
Zurück zum Zitat Theeler BJ, Krasnokutsky MV, Scott BR. Exertional reversible cerebral vasoconstriction responsive to verapamil. Neurol Sci Off J Ital Neurol Soc Ital Soc Clin Neurophysiol. 2010;31(6):773–5. doi:10.1007/s10072-010-0226-4. Theeler BJ, Krasnokutsky MV, Scott BR. Exertional reversible cerebral vasoconstriction responsive to verapamil. Neurol Sci Off J Ital Neurol Soc Ital Soc Clin Neurophysiol. 2010;31(6):773–5. doi:10.​1007/​s10072-010-0226-4.
77.
Zurück zum Zitat Song JK, Fisher S, Seifert TD, Cacayorin ED, Alexandrov AV, Malkoff MD, et al. Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty. Neuroradiology. 2004;46(12):1022–6. doi:10.1007/s00234-003-1129-3.PubMedCrossRef Song JK, Fisher S, Seifert TD, Cacayorin ED, Alexandrov AV, Malkoff MD, et al. Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty. Neuroradiology. 2004;46(12):1022–6. doi:10.​1007/​s00234-003-1129-3.PubMedCrossRef
78.
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. AJNR Am J Neuroradiol. 2011;32(10):E184–7. doi:10.3174/ajnr.A2341.PubMedCrossRef Farid H, Tatum JK, Wong C, Halbach VV, Hetts SW. Reversible cerebral vasoconstriction syndrome: treatment with combined intra-arterial verapamil infusion and intracranial angioplasty. AJNR Am J Neuroradiol. 2011;32(10):E184–7. doi:10.​3174/​ajnr.​A2341.PubMedCrossRef
81.
Zurück zum Zitat Grande PO, Lundgren A, Bjartmarz H, Cronqvist M. Segmental cerebral vasoconstriction: successful treatment of secondary cerebral ischaemia with intravenous prostacyclin. Cephalalgia Int J Headache. 2010;30(7):890–5. doi:10.1177/0333102409352909.CrossRef Grande PO, Lundgren A, Bjartmarz H, Cronqvist M. Segmental cerebral vasoconstriction: successful treatment of secondary cerebral ischaemia with intravenous prostacyclin. Cephalalgia Int J Headache. 2010;30(7):890–5. doi:10.​1177/​0333102409352909​.CrossRef
Metadaten
Titel
Reversible Cerebral Vasoconstriction Syndrome: a Comprehensive Update
verfasst von
Ali Mehdi
Rula A. Hajj-Ali
Publikationsdatum
01.09.2014
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 9/2014
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-014-0443-2

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23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update AINS

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