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Indian Journal of Emergency Medicine

Volume  6, Issue 2, April – June 2020, Pages 120-124
 

Case Report

A Rare Case of Reversible Cerebral Vasoconstriction Syndrome in a Patient with Migraine

Dhileeban CM, Dheeraj Bhaskaran Nair

1Resident, 2HOD, Department of Emergency Medicine, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh 201012, India.

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.6220.14

Abstract

Reversible Cerebral Vasoconstriction Syndromes (RCVS) are a cluster of conditions that show reversible multifocal vasoconstriction of the cerebral arteries with typical manifestations like thunderclap headache and less commonly focal neurologic deficits related to brain edema, stroke, or seizure. We describe a case of 31 year old male staff nurse who arrived at the emergency room for regular morning duty and suddenly became unresponsive. He was immediately intubated and managed following which NCCT brain was taken. It revealed generalized brain edema. Other blood and radiological investigation reports were unremarkable. After ruling out all possible diagnosis he was diagnozed as a case of RCVS. He was well-managed by the emergency team and was discharged in a stable condition with nil neurological deficit.
 


Keywords : RCVS; Thunderclap headache; Migraine; Stress; Sausage on a string
Corresponding Author : Dheeraj Bhaskaran Nair