RT Journal Article
SR Electronic
T1 Reversible cerebral vasoconstriction syndrome and bilateral vertebral artery dissection presenting in a patient after cesarean section
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e5
OP e5
DO 10.1136/neurintsurg-2012-010521.rep
VO 6
IS 1
A1 Lex A Mitchell
A1 Justin G Santarelli
A1 Inder Paul Singh
A1 Huy M Do
YR 2014
UL http://jnis.bmj.com/content/6/1/e5.abstract
AB 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.