[A Case of Juvenile Cerebral Infarction due to Reversible Cerebral Vasoconstriction Syndrome].
A 19-year-old woman had a thunderclap headache, followed by left hemiparesis and left homonymous hemianopsia. Laboratory tests showed no signs of infection and immunological test results were unremarkable. MRI revealed a cerebral infarction in the right posterior cerebral artery territory, and digital subtraction angiography(DSA)showed right posterior cerebral artery stenosis on day 2. The first follow-up DSA demonstrated an irregular, bead-like appearance on day 9, but the stenotic lesion returned to normal on day 21. Reversible cerebral vasoconstriction syndrome should be suspected in cases of rapid resolution of symptoms.
Department of Neurosurgery, Saito Memorial Hospital.
Masaki
M
Koh
Yoshifumi
Y
Tsuboi
Osamu
O
Fukuda
D015901:Angiography, Digital Subtraction; D002544:Cerebral Infarction / Q000000981:diagnostic imaging* / Q000209:etiology*; D005260:Female; D051270:Headache Disorders, Primary / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D014661:Vasoconstriction; D055815:Young Adult