Article Text

other Versions

PDF
Case report
Reversible cerebral vasoconstriction syndrome and bilateral vertebral artery dissection presenting in a patient after cesarean section
  1. Lex A Mitchell1,
  2. Justin G Santarelli2,
  3. Inder Paul Singh3,
  4. Huy M Do1,2
  1. 1Department of Radiology, Stanford University Medical Center, Stanford, California, USA
  2. 2Department of Neurosurgery, Stanford University Medical Center, Stanford, California, USA
  3. 3Department of Neurology, Stanford University Medical Center, Stanford, California, USA
  1. Correspondence to Dr Huy M Do, huymdo{at}stanford.edu

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by sudden-onset thunderclap headache and focal neurologic deficits. Once thought to be a rare syndrome, more advanced non-invasive imaging has led to an increase in RCVS diagnosis. Unilateral vertebral artery dissection has been described in fewer than 40% of cases of RCVS. Bilateral vertebral artery dissection has rarely been reported. We describe the case of a patient with RCVS and bilateral vertebral artery dissection presenting with an intramedullary infarct treated successfully with medical management and careful close follow-up. This rare coexistence should be recognized as the treatment differs.

  • Stroke
  • Dissection
  • Blood Flow

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.