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Case Report

Reversible Cerebral Vasoconstriction Syndrome Promptly Diagnosed with Magnetic Resonance Imaging Including Magnetic Resonance Angiography during Immunosuppressive Therapy in a 16-Year-Old Girl with Refractory Cytopenia of Childhood

1
Department of Pediatric Hematology and Oncology, Japanese Red Cross Narita Hospital, 90-1, Iida-cho, Narita, Chiba 286-8523, Japan
2
Department of Radiology, Japanese Red Cross Narita Hospital, Narita, Chiba 286-8523, Japan
*
Author to whom correspondence should be addressed.
Hematol. Rep. 2016, 8(4), 61-63; https://doi.org/10.4081/hr.2016.6673
Submission received: 29 June 2016 / Revised: 1 September 2016 / Accepted: 11 October 2016 / Published: 17 November 2016

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is a syndrome characterized by severe headache with segmental vasoconstriction of the cerebral arteries that resolves within 12 weeks. A 16-year-old girl with refractory cytopenia of childhood, who was receiving the immunosuppressant cyclosporine, developed severe headache and was diagnosed with RCVS using magnetic resonance imaging, including magnetic resonance angiography (MRA). MRA is a non-invasive and very effective technique for diagnosing RCVS. MRA should be performed at the onset of severe headache during immunosuppressant administration for children with hematological disorders and may prevent sequelae such as posterior reversible encephalopathy syndrome or ischemic attack.
Keywords: reversible cerebral vasoconstriction syndrome; immunosuppressive therapy; magnetic resonance angiography; refractory cytopenia of childhood; children reversible cerebral vasoconstriction syndrome; immunosuppressive therapy; magnetic resonance angiography; refractory cytopenia of childhood; children

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MDPI and ACS Style

Ueki, H.; Sanayama, Y.; Miyajima, A.; Tsuchimochi, T.; Igarashi, S.; Sunami, S. Reversible Cerebral Vasoconstriction Syndrome Promptly Diagnosed with Magnetic Resonance Imaging Including Magnetic Resonance Angiography during Immunosuppressive Therapy in a 16-Year-Old Girl with Refractory Cytopenia of Childhood. Hematol. Rep. 2016, 8, 61-63. https://doi.org/10.4081/hr.2016.6673

AMA Style

Ueki H, Sanayama Y, Miyajima A, Tsuchimochi T, Igarashi S, Sunami S. Reversible Cerebral Vasoconstriction Syndrome Promptly Diagnosed with Magnetic Resonance Imaging Including Magnetic Resonance Angiography during Immunosuppressive Therapy in a 16-Year-Old Girl with Refractory Cytopenia of Childhood. Hematology Reports. 2016; 8(4):61-63. https://doi.org/10.4081/hr.2016.6673

Chicago/Turabian Style

Ueki, Hideaki, Yasushi Sanayama, Akiyo Miyajima, Taichiro Tsuchimochi, Shunji Igarashi, and Shosuke Sunami. 2016. "Reversible Cerebral Vasoconstriction Syndrome Promptly Diagnosed with Magnetic Resonance Imaging Including Magnetic Resonance Angiography during Immunosuppressive Therapy in a 16-Year-Old Girl with Refractory Cytopenia of Childhood" Hematology Reports 8, no. 4: 61-63. https://doi.org/10.4081/hr.2016.6673

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