2021
DOI: 10.1186/s10194-021-01223-9
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Post-reversible cerebral vasoconstriction syndrome headache

Abstract: Background Chronic headache may persist after the remission of reversible cerebral vasoconstriction syndrome (RCVS) in some patients. We aimed to investigate the prevalence, characteristics, risk factors, and the impact of post-RCVS headache. Methods We prospectively recruited patients with RCVS and collected their baseline demographics, including psychological distress measured by Hospital Anxiety and Depression scale. We evaluated whether the pat… Show more

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Cited by 13 publications
(16 citation statements)
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“…Regarding NDPH, reduced cortical cerebral perfusion may be associated with compensatory vasoconstriction due to persistent headache. A previous study reported two cases of NDPH-like headaches after acute bouts of reversible cerebral vasoconstriction syndrome (RCVS), which suggested that vasoconstriction in RCVS may be regarded as a trigger for NDPH-like headache [48]. In addition, the persistence of headache attacks might accelerate the decreased cerebral perfusion in NDPH.…”
Section: Discussionmentioning
confidence: 99%
“…Regarding NDPH, reduced cortical cerebral perfusion may be associated with compensatory vasoconstriction due to persistent headache. A previous study reported two cases of NDPH-like headaches after acute bouts of reversible cerebral vasoconstriction syndrome (RCVS), which suggested that vasoconstriction in RCVS may be regarded as a trigger for NDPH-like headache [48]. In addition, the persistence of headache attacks might accelerate the decreased cerebral perfusion in NDPH.…”
Section: Discussionmentioning
confidence: 99%
“…RCVS typically has a benign course and symptoms usually resolve in days to weeks. Although most patients have a favorable outcome, it should be emphasized that RCVS remains a medical emergency due to its potentially devastating complications including intracranial hemorrhage, ischemic stroke, seizures, and posterior reversible encephalopathy 8,14,15 . The majority of RCVS cases have a clear precipitating factor or agent.…”
Section: Discussionmentioning
confidence: 99%
“…Subsequent studies also reported several cases of NDPH with a typical thunderclap headache onset [ 34 , 35 ]. Two cases of NDPH-like headaches after the acute bouts of reversible cerebral vasoconstriction syndrome (RCVS) have been reported [ 36 ]. These cases suggest that either they belong to a subtype of NDPH, which shares a similar etiology with the RCVS-spectrum disorders; or vasoconstriction in RCVS may be regarded as a trigger for NDPH-like headache.…”
Section: Ndph-mimics With Secondary Causesmentioning
confidence: 99%