Pediatric Case of Life-Threatening Stroke Caused by Reversible Cerebral Vasoconstriction Syndrome with Spontaneous Cervical Internal Carotid Artery Vasospasm: A Case Report.
Adolescent
Carotid Artery, Internal
/ diagnostic imaging
Carotid Stenosis
/ complications
Cerebrovascular Circulation
Female
Headache Disorders, Primary
/ etiology
Humans
Infarction, Middle Cerebral Artery
/ diagnostic imaging
Syndrome
Treatment Outcome
Vasoconstriction
Vasospasm, Intracranial
/ complications
Extracranial cervical artery vasospasm
Idiopathic cervical internal carotid artery vasospasm
Pediatric stroke
Sympathetic hyperactivity
Thunderclap headache
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
30
04
2021
revised:
24
07
2021
accepted:
29
07
2021
pubmed:
15
8
2021
medline:
21
10
2021
entrez:
14
8
2021
Statut:
ppublish
Résumé
Pediatric reversible cerebral vasoconstriction syndrome (RCVS) and spontaneous cervical internal carotid artery (ICA) vasospasm are rare conditions; the former is commonly associated with a favorable prognosis. A healthy 13-year-old girl presented with thunderclap headache, followed by left hemiparesis, during a curling match. Six days after onset, left hemiparesis worsened to hemiplegia. Magnetic resonance imaging showed progressive cerebral infarction caused by severe right middle cerebral artery and cervical ICA stenosis. She became comatose because of impending uncal herniation. Emergent surgical decompression was performed. Then, 59 days after onset, her multiple stenoses improved, which was consistent with RCVS concomitant with spontaneous cervical ICA vasospasm. This is the first case of RCVS that concurrently developed spontaneous cervical ICA vasospasm. The patient developed life-threatening stroke due to the hemodynamic impairment of the affected intracranial and cervical arteries. Spontaneous extracranial supra-aortic artery vasospasm can be a poor prognostic predictor of RCVS.
Identifiants
pubmed: 34390940
pii: S1052-3057(21)00441-9
doi: 10.1016/j.jstrokecerebrovasdis.2021.106036
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
106036Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None