Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer
Thunderclap headaches, stroke, seizures, and cortical subarachnoid hemorrhage can all reveal reversible cerebral vasoconstriction syndrome (RCVS). Most parenchymal brain lesions occur simultaneously and sequentially with cerebral vasoconstriction in RCVS patients. Therefore, it is not easy to suspec...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Annals of Indian Academy of Neurology |
| Subjects: | |
| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=3;spage=220;epage=222;aulast=Yoon |
| _version_ | 1818257071787737088 |
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| author | Changhyo Yoon Seunguk Jung |
| author_facet | Changhyo Yoon Seunguk Jung |
| author_sort | Changhyo Yoon |
| collection | DOAJ |
| description | Thunderclap headaches, stroke, seizures, and cortical subarachnoid hemorrhage can all reveal reversible cerebral vasoconstriction syndrome (RCVS). Most parenchymal brain lesions occur simultaneously and sequentially with cerebral vasoconstriction in RCVS patients. Therefore, it is not easy to suspect RCVS in patients with only parenchymal brain lesions without vasoconstriction even if they present with a typical thunderclap headache. Furthermore, RCVS should be differentiated from central nervous system vasculitis. However, it is especially difficult to distinguish RCVS from the cerebral involvement of multisystem vasculitis when there is a positive result in the serologic test for autoantibodies. We report a case of RCVS with hidden breast cancer in which ischemic stroke and cortical subarachnoid hemorrhage were observed earlier than vasoconstriction, and there were positive autoantibodies. |
| first_indexed | 2024-12-12T17:37:49Z |
| format | Article |
| id | doaj.art-ba2907472adf4bdb97167e61aec6220f |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-12-12T17:37:49Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-ba2907472adf4bdb97167e61aec6220f2022-12-22T00:17:11ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492018-01-0121322022210.4103/aian.AIAN_440_17Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancerChanghyo YoonSeunguk JungThunderclap headaches, stroke, seizures, and cortical subarachnoid hemorrhage can all reveal reversible cerebral vasoconstriction syndrome (RCVS). Most parenchymal brain lesions occur simultaneously and sequentially with cerebral vasoconstriction in RCVS patients. Therefore, it is not easy to suspect RCVS in patients with only parenchymal brain lesions without vasoconstriction even if they present with a typical thunderclap headache. Furthermore, RCVS should be differentiated from central nervous system vasculitis. However, it is especially difficult to distinguish RCVS from the cerebral involvement of multisystem vasculitis when there is a positive result in the serologic test for autoantibodies. We report a case of RCVS with hidden breast cancer in which ischemic stroke and cortical subarachnoid hemorrhage were observed earlier than vasoconstriction, and there were positive autoantibodies.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=3;spage=220;epage=222;aulast=YoonAutoantibodycerebrovascular accidentmalignancyreversible cerebral vasoconstriction syndrome |
| spellingShingle | Changhyo Yoon Seunguk Jung Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer Annals of Indian Academy of Neurology Autoantibody cerebrovascular accident malignancy reversible cerebral vasoconstriction syndrome |
| title | Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer |
| title_full | Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer |
| title_fullStr | Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer |
| title_full_unstemmed | Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer |
| title_short | Cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer |
| title_sort | cerebral infarction and cortical subarachnoid hemorrhage preceded vascular contraction in reversible cerebral vasoconstriction syndrome patient with hidden breast cancer |
| topic | Autoantibody cerebrovascular accident malignancy reversible cerebral vasoconstriction syndrome |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=3;spage=220;epage=222;aulast=Yoon |
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