Presentation
A number of thunderclap headaches over a period of weeks. No blood or xanthochromia on CSF.
Patient Data
Age: 50 years
Gender: Female
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/6636/annotated_viewer_json?lang=us"}
Initial CTA appears unremarkable with no vascular changes.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/17303/annotated_viewer_json?lang=us"}
Repeat CTA three days later, after a further headache revealed marked beading of all intracranial branches, best demonstrated in the ACAs. An occipital infarct is also evident.
Case Discussion
Features are consistent with reversible cerebral vasoconstriction syndrome.
Unable to process the form. Check for errors and try again.