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Case ReportOpen Access

Reversible Cerebral Vasoconstriction Syndrome: A Report on Three Cases

Roongpiboonsopit D , Kongbunkiat K , Phanthumchinda K

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Citation

Roongpiboonsopit D, Kongbunkiat K, Phanthumchinda K. Reversible Cerebral Vasoconstriction Syndrome: A Report on Three Cases. J Med Assoc Thai 2016;99:97.

Reversible cerebral vasoconstriction syndrome (RCVS), a recently recognized syndrome, is defined as an intermittent segmental vasospasm of cerebral arteries accompanied by thunderclap headache. The major complications of RCVS include ischemic or hemorrhagic stroke, which may cause morbidity and mortality. It is important to detect RCVS in clinical practice because misdiagnosis may lead to inappropriate treatment. In Thailand, there are only two reported cases of RCVS, which may reflect an underdiagnosis of this syndrome. To raise awareness of RCVS, we reported a case series of three RCVS cases. Two of the presented cases had interesting precipitating factors, and two cases had an unusual delayed clinical course.

Keywords: Reversible cerebral vasoconstriction syndrome, Thunderclap headache, Herbal supplements, Biologically fermented juice

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