Initial vasodilatation in a child with reversible cerebral vasoconstriction syndrome

Yoshitsugu Oikawa, Yukimune Okubo, Yurika Numata-Uematsu, Yu Aihara, Taro Kitamura, Masaru Takayanagi, Yukitoshi Takahashi, Shigeo Kure, Mitsugu Uematsu

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

We describe the case of a 10-year-old boy who developed reversible cerebral vasoconstriction syndrome (RCVS) after cerebellitis. He received intravenous immunoglobulin and methylprednisolone to treat the cerebellitis. However, he then presented with a sudden severe headache, vomiting, and generalized tonic-clonic seizure. Brain magnetic resonance angiography (MRA) initially revealed diffuse cerebral vasodilatations, and diffuse multifocal segmental vasoconstrictions developed several days later. His clinical symptoms gradually resolved after several days, in the absence of any specific therapy. MRA performed 46 days after symptom onset showed that the multifocal segmental vasoconstrictions had resolved, suggesting a diagnosis of RCVS. The imaging features of RCVS include multifocal segmental vasoconstriction. However, our case suggests that diffuse cerebral vasodilatation may in fact be evident during the early stage of disease.

Original languageEnglish
Pages (from-to)108-110
Number of pages3
JournalJournal of Clinical Neuroscience
Volume39
DOIs
Publication statusPublished - 2017 May 1

Keywords

  • Diffuse cerebral vasodilatations
  • Magnetic resonance angiography
  • Posterior reversible encephalopathy syndrome (PRES)
  • Reversible cerebral vasoconstriction syndrome (RCVS)

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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