Steroid-Responsive Reversible Cerebral Vasoconstriction Syndrome.
- Author:
Manyong LEE
1
;
Dong Hoon SHIN
;
Sun Min LEE
;
Jin Soo LEE
Author Information
- Publication Type:Case Report
- Keywords: Vasoconstriction; Cerebral infarction; Steroids
- MeSH: Angiography; Arteries; Cerebral Infarction; Female; Headache Disorders, Primary; Humans; Magnetic Resonance Imaging; Middle Aged; Neurologic Manifestations; Steroids; Vasoconstriction*
- From:Journal of the Korean Neurological Association 2016;34(1):33-36
- CountryRepublic of Korea
- Language:Korean
- Abstract: A 50-year-old woman with thunderclap headache and transient neurologic symptoms was diagnosed with reversible cerebral vasoconstriction syndrome. Serial angiography showed multifocal arterial vasoconstrictions, and MRI revealed multiple scattered cerebral infarctions. New neurologic symptoms and vasoconstriction in other arteries occurred repeatedly despite the on-going administration of traditional treatments. However, the symptoms reduced dramatically after administering intravenous steroid pulse therapy. This case suggests that steroid therapy can be considered as an alternative treatment when reversible cerebral vasoconstriction syndrome is intractable to traditional treatment.
