Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report

Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report Publisher Pubmed

Togha M^{1, 2} ; Babaei M³ ; Ghelichi PG⁴

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1. Neurology ward, Sina Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
2. Headache department, Irainian Center of Neurological Researches, Institute of Neuroscience, Tehran University of Medical Sciences, Tehran, Iran
3. Department of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4. Department of medicine, Division of obstetrics & Gynecology, Milad hospital, Tehran, Iran

Source: Journal of Headache and Pain Published:2021

Abstract

Background: Reversible Cerebral Vasoconstriction Syndrome is a condition of transient cerebral vascular spasms, which usually presents with recurrent thunderclap headaches and recovers within 3 months. Several probable triggers and underlying factors, such as sex hormones, vasoactive drugs, head trauma or surgery, and tumors, have been implicated. Case presentation: In this paper, we present a 53-year-old woman with thunderclap headaches and normal lab tests who was radio-clinically diagnosed with reversible cerebral vasoconstriction syndrome and treated accordingly. Then, she experienced the recurrence of RCVS after about 2 years and headaches after 1 year in association with high blood pressure, high blood sugar, hypothyroidism, hyperlipidemia, and a urine metanephrine level of 5 times higher than the normal limit, suggesting a diagnosis of pheochromocytoma. After confirmation of the diagnosis with further imaging studies, surgical removal of the tumor resolved all the signs and symptoms. Conclusion: Often underdiagnosed, pheochromocytoma could be an important condition associated with RCVS. It is important for clinicians to bear this diagnosis in mind while dealing with similar cases of recurrent thunderclap headaches. © 2021, The Author(s).

Style	Citing Format
MLA	Togha M, Babaei M, Ghelichi PG. "Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report." Journal of Headache and Pain, vol. 22, no. 1, 2021, pp. -.
APA	Togha M, Babaei M, Ghelichi PG (2021). Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report. Journal of Headache and Pain, 22(1), -.
Chicago	Togha M, Babaei M, Ghelichi PG. "Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report." Journal of Headache and Pain 22, no. 1 (2021): -.
Harvard	Togha M, Babaei M, Ghelichi PG (2021) 'Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report', Journal of Headache and Pain, 22(1), pp. -.
Vancouver	Togha M, Babaei M, Ghelichi PG. Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report. Journal of Headache and Pain. 2021;22(1):-.
BibTex	@article{ author = {Togha M and Babaei M and Ghelichi PG}, title = {Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report}, journal = {Journal of Headache and Pain}, volume = {22}, number = {1}, pages = {-}, year = {2021} }
RIS	TY - JOUR AU - Togha M AU - Babaei M AU - Ghelichi PG TI - Reversible Cerebral Vasoconstriction Syndrome (Rcvs): An Interesting Case Report JO - Journal of Headache and Pain VL - 22 IS - 1 SP - EP - PY - 2021 ER -

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