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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Severe Reversible Cerebral Vasoconstriction Syndrome with Large Posterior Cerebral Infarction
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Severe Reversible Cerebral Vasoconstriction Syndrome with Large Posterior Cerebral Infarction

机译：具有大后脑梗塞的严重可逆脑血管收缩综合征

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摘要

Reversible cerebral vasoconstriction syndrome is characterized by thunderclap headache and multifocal cerebral vasoconstriction. Cerebral vasoconstriction is reversible, and most cases have good prognosis. However, clinical outcome is possibly severe when it is complicated by stroke, yet detailed reports on such a case are few. We experienced a case of severe reversible cerebral vasoconstriction syndrome in a 32-year-old woman with medical history of preeclampsia 3years prior. She presented with sudden sharp headache followed by altered mental status and vasoconstriction of the bilateral posterior cerebral arteries. She was treated with intravenous and oral calcium channel blockers, edaravone, and glycerol. However, the cerebral infarction in the posterior circulation subsequently remained, and her impaired consciousness did not recover. Furthermore, although imaging findings of vasoconstriction showed improvement a day after the occurrence of symptom, the same vessels showed poor visualization 7 weeks later, which indicated the recurrence of vasoconstriction, without additional symptom due to the fixed infarction. Although most cases of reversible cerebral vasoconstriction syndrome show good prognosis, neurologists must monitor the possibility of worse clinical course and permanent neurological deficit when associated with stroke, such as cerebral infarction. Strict management and treatment are needed in these cases.
机译：可逆脑血管收缩综合征的特征在于雷雨头痛和多焦虑脑血管收缩。脑血管收缩是可逆的，大多数病例具有良好的预后。然而，当临床结果可能是严重的时候，当它的中风复杂时，但这种情况的详细报告很少。我们经历了一名32岁女性的严重可逆脑血管收缩综合征的案例，具有先兆子痫3年的病史。她突然尖锐的头痛，然后改变了精神状态和双侧后脑动脉的血管收割机。她被静脉内和口服钙通道阻滞剂，埃达拉夫松和甘油治疗。然而，后循环中的脑梗塞随后保持留下，而她的意识障碍没有恢复。此外，虽然血管收缩的成像结果表明症状发生后的一天显示，但相同的血管显示出7周后的可视化，这表明血管收缩的复发，而没有由于固定梗死而额外的症状。虽然大多数可逆性脑血管收缩综合征患者呈现良好的预后，但神经泌虫学家必须在与中风相关时监测更糟糕的临床过程和永久性神经缺陷的可能性，例如脑梗塞。在这些情况下需要严格的管理和治疗。

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