Síndrome da Vasoconstricção Cerebral Reversível: Relato de caso / Reversible Cerebral Vasoconstriction Syndrome: Case Report

Reversible Cerebral Vasoconstriction Syndrome (SVCR) is an important differential diagnosis in patients with thunderclap headache. Its main characteristic is vasoconstriction of intracranial vessels, a dynamic process whose clinical course lasts an average of two weeks but varies in presentation and symptoms throughout the disease and usually resolves with resolution in around three months. The correct diagnosis is still a challenge and the literature lack case to understand the mechanisms involved in the pathophysiology of this syndrome. Thus, the objective of this work is to describe a case report of a 53-year-old female patient, whose admission was based on classical symptomatology. Aspects related to the handling and management of the case are described and detailed, showing the stages of diagnosis and evolution. This work also carried out a review of the work on the SVCR.

[1]  O. Sveinsson,et al.  [Reversible cerebral vasoconstriction syndrome - a common cause of thunderclap headache]. , 2020, Laeknabladid.

[2]  Yen-Feng Wang,et al.  Urine metabolomics signatures in reversible cerebral vasoconstriction syndrome , 2020, Cephalalgia : an international journal of headache.

[3]  C. Chung,et al.  Effect of Nimodipine Treatment on the Clinical Course of Reversible Cerebral Vasoconstriction Syndrome , 2019, Front. Neurol..

[4]  T. Krings,et al.  Angiographic Characteristics of Hemorrhagic and Ischemic Phases of Reversible Cerebral Vasoconstriction Syndrome , 2018, Clinical Neuroradiology.

[5]  J. Fuh,et al.  Thunderclap headache: an update , 2018, Expert review of neurotherapeutics.

[6]  K. McCarthy,et al.  The Epidemiology of Reversible Cerebral Vasoconstriction Syndrome in Patients at a Colorado Comprehensive Stroke Center. , 2018, Journal of vascular and interventional neurology.

[7]  M. Kuriyama,et al.  [Reversible cerebral vasoconstriction syndrome: a clinical study of 11 cases]. , 2018, Rinsho shinkeigaku = Clinical neurology.

[8]  Hyun Ah Choi,et al.  Characteristics and demographics of reversible cerebral vasoconstriction syndrome: A large prospective series of Korean patients , 2018, Cephalalgia : an international journal of headache.

[9]  M. Heran,et al.  Reversible cerebral vasoconstriction syndrome: an important and common cause of thunderclap and recurrent headaches. , 2017, Clinical radiology.

[10]  T. Münte,et al.  Isoflavones and gastrointestinal infection: Two potential triggers for reversible cerebral vasoconstriction syndrome , 2017, Cephalalgia : an international journal of headache.

[11]  D. Cordato,et al.  Reversible Cerebral Vasoconstriction Syndrome: Recognition and Treatment , 2017, Current Treatment Options in Neurology.

[12]  A. Singhal,et al.  Glucocorticoid-associated worsening in reversible cerebral vasoconstriction syndrome , 2017, Neurology.

[13]  A. Singhal,et al.  Long-term outcomes after reversible cerebral vasoconstriction syndrome , 2016, Cephalalgia : an international journal of headache.

[14]  Derek M. Sorensen Reversible Cerebral Vasoconstriction Syndrome. , 2016, JAMA neurology.

[15]  D. Segal,et al.  Call-Fleming syndrome: headache in a 16-year-old girl. , 2013, Pediatric neurology.

[16]  R. Anand,et al.  Call-Fleming syndrome , 2013, Indian Journal of Radiology and Imaging.

[17]  D. Drazin,et al.  Call-Fleming Syndrome (Reversible Cerebral Artery Vasoconstriction) and Aneurysm Associated with Multiple Recreational Drug Use , 2013, Case reports in neurological medicine.

[18]  A. Ducros,et al.  Thunderclap headache , 2013, BMJ.