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KMID : 0911820160170020065
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Korean Journal of Headache
2016 Volume.17 No. 2 p.65 ~ p.67
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A Case of Reversible Cerebral Vasoconstriction Syndrome without Headache
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Lee Seung-Hyun
Im Dong-Gyu
Won Hye-Yeon
Heo Jae-Hyeok
Ahn Jin-Young
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Abstract
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Reversible cerebral vasoconstriction syndrome (RCVS) is a cerebrovascular disorder associated with multifocal arterial constriction and variable neurological symptoms. The primary clinical manifestation is a recurrent suddenonset and severe (so called Thunderclap) headache over 1-2 weeks. Diagnosis requires demonstration of the characteristic diffuse segmental vasoconstriction on cerebral vascular imaging with resolution within a few days to 3 months. We report a case of 69 year-old woman who showed segmental vasoconstriction on cerebral vascular imaging without any headache. Although recurrent thunderclap headache is the hallmark of RCVS, the absence of such a pattern should not lead to discard the diagnosis.
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KEYWORD
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Reversible cerebral vasoconstriction syndrome, Thunderclap headache, Cerebral vascular imaging
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