Reversible Cerebral Vasoconstriction Syndrome with Multivessel Cervical Artery Dissections and a Double Aortic Arch

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• 作者：Amre Nouh ; Sean Rul ; Michael J. Schneck ; David Pasquale ; Jos茅 Biller
• 关键词：Reversible cerebral vasoconstriction syndrome ; cervical artery dissections ; double aortic arch ; cannabis ; triptans
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：February, 2014
• 年：2014
• 卷：23
• 期：2
• 页码：e141-e143
• 全文大小：301 K

文摘

Reversible cerebral vasoconstriction syndrome (RCVS) has been associated with exposure to vasoactive substances and few reports with cervical arterial dissections (CADs). We evaluated a 32-year-old woman with history of depression, migraines without aura, and cannabis use who presented with a thunderclap headache unresponsive to triptans. She was found to have bilateral occipital infarcts, bilateral extracranial vertebral artery dissections, bilateral internal carotid artery dissecting aneurysms, and extensive distal multifocal segmental narrowing of the anterior and posterior intracranial circulation with a 鈥渟ausage on a string-like appearance鈥?suggestive of RCVS. Subsequently, she was found to have a distal thrombus of the basilar artery, was anticoagulated, and discharged home with no residual deficits. We highlight the potential association of CADs and RCVS. The association of RCVS and a double aortic arch has not been previously reported.