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- Taiki Matsubayashi, Ayako Oniki, Misako Furuki, and Masato Obayashi.
- Department of Neurology, National Hospital Organization Disaster Medical Center, Japan.
- Intern. Med. 2021 Jul 15; 60 (14): 2321-2326.
AbstractA 48-year-old man had convulsions, and magnetic resonance angiography (MRA) showed diffuse constriction of the cerebral arteries. He was suspected of having primary angiitis of the central nervous system (PACNS) and treated with steroid for three days. The MRA abnormality disappeared after a week. After 69 days, he developed dizziness, and MRA revealed recurrence of cerebral artery stenosis. Nevertheless, the symptoms and abnormal MRA findings recovered promptly without treatment. He was diagnosed with reversible cerebral vasoconstriction syndrome (RCVS) without headache. This case suggests that RCVS should be a differential diagnosis in patients without headache whose MRA findings show multiple cerebral artery stenosis.
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