Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?
IntroductionReversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible cerebral arteries vasoconstriction. The pathophysiology remains unclear, but many triggers were reported.Case reportsWe reported two cases of patients with meningitis who develope...
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| Format: | Article |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1143215/full |
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| author | Fida Oukhai Valérie Domigo Valérie Domigo Joseph Benzakoun Joseph Benzakoun Michel Wolff Anne Ducros Jean-Louis Mas Jean-Louis Mas David Calvet David Calvet |
| author_facet | Fida Oukhai Valérie Domigo Valérie Domigo Joseph Benzakoun Joseph Benzakoun Michel Wolff Anne Ducros Jean-Louis Mas Jean-Louis Mas David Calvet David Calvet |
| author_sort | Fida Oukhai |
| collection | DOAJ |
| description | IntroductionReversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible cerebral arteries vasoconstriction. The pathophysiology remains unclear, but many triggers were reported.Case reportsWe reported two cases of patients with meningitis who developed RCVS confirmed by brain imaging. They presented clinical and CSF features of meningitis that are suspected to be infectious, but no agent was identified. Headache and artery irregularities were resolved with the improvement of CSF.ConclusionThese cases suggest that in the context of meningitis, modification or atypical headaches should lead to brain imaging to rule out RCVS. We hypothesized that CSF inflammation may trigger cerebral arteries vasoconstriction. |
| first_indexed | 2024-03-12T22:45:25Z |
| format | Article |
| id | doaj.art-9f1adf9d1871431ca324018f4ec3c328 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-12T22:45:25Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-9f1adf9d1871431ca324018f4ec3c3282023-07-21T06:29:43ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-07-011410.3389/fneur.2023.11432151143215Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome?Fida Oukhai0Valérie Domigo1Valérie Domigo2Joseph Benzakoun3Joseph Benzakoun4Michel Wolff5Anne Ducros6Jean-Louis Mas7Jean-Louis Mas8David Calvet9David Calvet10Neurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, FranceNeurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, FranceINSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, FranceINSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, FranceRadiology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Paris, FranceNeuro Intensive Care Unit, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Paris, FranceNeurology Department, Gui de Chauliac Hospital, Centre Hospitalier Universitaire (CHU) de Montpellier, Montpellier, FranceNeurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, FranceINSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, FranceNeurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, FranceINSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, FranceIntroductionReversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible cerebral arteries vasoconstriction. The pathophysiology remains unclear, but many triggers were reported.Case reportsWe reported two cases of patients with meningitis who developed RCVS confirmed by brain imaging. They presented clinical and CSF features of meningitis that are suspected to be infectious, but no agent was identified. Headache and artery irregularities were resolved with the improvement of CSF.ConclusionThese cases suggest that in the context of meningitis, modification or atypical headaches should lead to brain imaging to rule out RCVS. We hypothesized that CSF inflammation may trigger cerebral arteries vasoconstriction.https://www.frontiersin.org/articles/10.3389/fneur.2023.1143215/fullRCVSmeningitisthunderclap headachereversible cerebral vasoconstriction syndromeCSF inflammation |
| spellingShingle | Fida Oukhai Valérie Domigo Valérie Domigo Joseph Benzakoun Joseph Benzakoun Michel Wolff Anne Ducros Jean-Louis Mas Jean-Louis Mas David Calvet David Calvet Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? Frontiers in Neurology RCVS meningitis thunderclap headache reversible cerebral vasoconstriction syndrome CSF inflammation |
| title | Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? |
| title_full | Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? |
| title_fullStr | Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? |
| title_full_unstemmed | Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? |
| title_short | Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? |
| title_sort | case report meningitis a cause of reversible cerebral vasoconstriction syndrome |
| topic | RCVS meningitis thunderclap headache reversible cerebral vasoconstriction syndrome CSF inflammation |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1143215/full |
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