Abstract
Reversible cerebral vasoconstriction syndromes are characterized by prolonged but
reversible vasoconstriction of the cerebral arteries, presenting typically with thunderclap
headache, with or without focal neurological signs or symptoms. They resemble primary
central nervous system vasculitis but it is critical to differentiate these two entities.
Here we draw attention to intracranial haemorrhage as an important and not uncommon
clinical feature in reversible cerebral vasoconstriction syndrome. Four patients with
reversible cerebral vasoconstriction syndrome, each presenting to a single unit with
intracranial haemorrhage, are described. These descriptions of haemorrhage at presentation
of RCVS extend the recognised clinical phenotype and so help to enhance recognition
and diagnosis of this often unconsidered disorder.
Keywords
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Article info
Publication history
Accepted:
August 26,
2008
Received in revised form:
August 20,
2008
Received:
May 7,
2008
Identification
Copyright
© 2008 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
