Reversible cerebral vasoconstriction syndrome: review of neuroimaging findings.
Digital subtraction angiography
Magnetic resonance imaging
Reversible cerebral vasoconstriction syndrome
Subarachnoid hemorrhage
Vessel wall imaging
Journal
La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
15
03
2022
accepted:
22
07
2022
pubmed:
7
8
2022
medline:
28
9
2022
entrez:
6
8
2022
Statut:
ppublish
Résumé
Reversible cerebral vasoconstriction syndrome (RCVS) is a group of disorders characterized by segmental narrowing and dilatation of medium-to-large cerebral arteries, clinically presenting with recurrent episodes of sudden-onset thunderclap headaches, with or without focal neurological deficits. Cerebral vasoconstriction is typically reversible, with spontaneous resolution within 3 months. Although the syndrome has generally a benign course, patients with neurological deficits may experience worse outcome. The main imaging finding is segmental constriction of intracranial arteries, which can be associated with subarachnoid hemorrhage and/or ischemic foci. Other possible findings are intracranial hemorrhage, subdural bleeding and cerebral edema. The latter may have a pattern which can resemble that of posterior reversible encephalopathy syndrome, a condition that can overlap with RCVS. New imaging techniques, such as vessel wall imaging and arterial spin labeling, are proving useful in RCVS and are giving new insights into the pathophysiology of this condition. In this paper, we aim to review neuroimaging findings of RCVS.
Identifiants
pubmed: 35932443
doi: 10.1007/s11547-022-01532-2
pii: 10.1007/s11547-022-01532-2
pmc: PMC9362037
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
981-990Informations de copyright
© 2022. Italian Society of Medical Radiology.
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