Reversible cerebral vasoconstriction syndrome associated with probable drug poisoning

Radiology Case Reports

article

Arthur de Oliveira Veras¹  Felipe Micelli Noleto¹  Michelle Zonkowski Ribas¹  Gabriela Ferreira Paticcié¹  Raphael Palomo Barreira¹  Beatriz Medeiros Correa¹  Thomas Zurga Markus Torres¹  Vanessa Moraes Rossette¹  Natalia Figueiredo Miranda¹  Clara Kimie Miyahira¹  Júlio César Claudino dos Santos¹ 

[1] Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP

关键词: Reversible cerebral vasoconstriction syndrome;    Headache;    Cannabinoid;    Marijuana;   

DOI  :  10.1016/j.radcr.2022.11.044

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical condition characterized by arterial involvement of the intracranial vessels, manifesting with vasospasm. The most common clinical manifestation related to the syndrome is the thunderclap headache, which consists of a severe headache that reaches the peak of pain within minutes. The imaging study assumes a leading role in the complementary investigation. Laboratory tests and cerebrospinal fluid analysis are often nonspecific and without significant diagnostic importance. Non-contrast studies of the brain parenchyma reveal variable results that can often be normal. Angiographic findings, which initially may not reveal any changes, allow the visualization of diffuse narrowing of the vessels, with the posterior cerebral circulation being preferentially affected. The present study reports the case of a 19-year-old woman with no relevant medical history, except that she was a regular user of marijuana and a drug based on chloroform and ether. The patient showed clinical and imaging signs compatible with RCVS, and the narcotics used by her were considered precipitating factors.

【 授权许可】

CC BY|CC BY-NC-ND