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KMID : 1103720210820010261
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Journal of the Korean Society of Radiology
2021 Volume.82 No. 1 p.261 ~ p.266
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High-Resolution Magnetic Resonance Imaging Findings of Reversible Cerebral Vasoconstriction Syndrome associated with Severe Anemia: A Case Report
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Kim Yong-Sang
Yoon Ra-Gyoung
Lee Ji-Ye
Park Jong-Moo
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Abstract
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Ischemic stroke is one of the manifestations of reversible cerebral vasoconstriction syndrome (RCVS). Many precipitants and associated disorders of RCVS have been suggested. However, few case reports have indicated an association between anemia and RCVS. Here, we report a case of a 66-year-old female with severe iron deficiency anemia (IDA), who presented with ischemic stroke and cerebral vasoconstriction, which gradually improved with conservative treatment. High-resolution vessel wall magnetic resonance imaging findings and reversibility suggested the possibility of RCVS. In patients with RCVS and ischemic stroke, IDA should be considered. Prompt management should be delivered to prevent disease progression and recurrence.
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KEYWORD
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Cerebrovascular Disorders, Vasoconstriction, Stroke, Magnetic Resonance Imaging, Anemia
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