Reversible cerebral vasoconstriction syndrome

Case contributed by Assoc Prof Frank Gaillard


A number of thunderclap headaches over a period of weeks. No blood or xanthochromia on CSF.

Patient Data

Age: 50 years
Gender: Female

Initial CTA appears unremarkable with no vascular changes.


CTA brain (soon after episode of headache)

Repeat CTA three days later, after a further headache revealed marked beading of all intracranial branches, best demonstrated in the ACAs. An occipital infarct is also evident.

Case Discussion

Features are consistent with reversible cerebral vasoconstriction syndrome.

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Case information

rID: 4425
Published: 23rd Aug 2008
Last edited: 13th Aug 2019
Inclusion in quiz mode: Excluded

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