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Papers of the Week

2022 Aug 26

Rinsho Shinkeigaku

[Subdural hematoma with reversible cerebral vasoconstriction syndrome: a case report].


Ikuta G, Makino K, Takamatsu K, Takada A, Wada K, Hashimoto Y
Rinsho Shinkeigaku. 2022 Aug 26.
PMID: 36031380.


A 71-year-old man had persistent cervical pain secondary to thunderclap headache during sleep. MRI conducted the next morning revealed subdural hematoma and convexity subdural hemorrhage on the right occipital region, and the patient was hospitalized. MRA showed vascular narrowing in the bilateral PCA. Follow-up MRA on day 8 of admission showed aggravated vascular narrowing of PCA, indicative of reversible cerebral vasoconstriction syndrome (RCVS). The patient was treated with a calcium-channel antagonist. Post-discharge MRA showed improvement of PCA narrowing, and the diagnosis of RCVS was confirmed.