Reversible Cerebral Vasoconstriction Syndrome in a Patient with Takayasu's Arteritis

Yuto Uchida; Noriyuki Matsukawa; Takuya Oguri; Keita Sakurai; Toshiyasu Miura; Shiho Iwagaitsu; Taio Naniwa; Kosei Ojika

doi:10.2169/internalmedicine.50.5185

CASE REPORTS

Reversible Cerebral Vasoconstriction Syndrome in a Patient with Takayasu's Arteritis

Yuto Uchida, Noriyuki Matsukawa, Takuya Oguri, Keita Sakurai, Toshiyasu Miura, Shiho Iwagaitsu, Taio Naniwa, Kosei Ojika

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Keywords: reversible cerebral vasoconstriction syndrome, Takayasu's arteritis, intracranial vessel, magnetic resonance angiography, posterior reversible encephalopathy syndrome

JOURNAL OPEN ACCESS

2011 Volume 50 Issue 15 Pages 1611-1614

DOI https://doi.org/10.2169/internalmedicine.50.5185

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Abstract

We herein present the first reported case of reversible cerebral vasoconstriction syndrome (RCVS) in Takayasu's arteritis (TA), in a patient with severe thunderclap headache and generalized tonic-clonic seizure. Magnetic resonance imaging and angiography revealed posterior reversible encephalopathy syndrome, followed by severe vasoconstriction in multiple arteries. RCVS should be included in the differential diagnosis of thunderclap headache attacks with radiologic intracranial vascular abnormalities in connective tissue diseases, including TA.

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