Rinsho Shinkeigaku (Clinical Neurology)

Case Report

Subdural hematoma with reversible cerebral vasoconstriction syndrome:a case report

Genki Ikuta, M.D.1), Keishi Makino, M.D., Ph.D.1), Koutaro Takamatsu, M.D., Ph.D.2), Akira Takada, M.D., Ph.D.1), Kuniyasu Wada, M.D., Ph.D.2) and Yoichiro Hashimoto, M.D., Ph.D.2)

1) Department of Neurosurgery, Kumamoto City Hospital
2) Department of Neurology, Kumamoto City Hospital

A 71-year-old man had persistent cervical pain secondary to thunderclap headache during sleep. MRI conducted the next morning revealed subdural hematoma and convexity subdural hemorrhage on the right occipital region, and the patient was hospitalized. MRA showed vascular narrowing in the bilateral PCA. Follow-up MRA on day 8 of admission showed aggravated vascular narrowing of PCA, indicative of reversible cerebral vasoconstriction syndrome (RCVS). The patient was treated with a calcium-channel antagonist. Post-discharge MRA showed improvement of PCA narrowing, and the diagnosis of RCVS was confirmed.
Full Text of this Article in Japanese PDF (1470K)

(CLINICA NEUROL, 62: 732−735, 2022)
key words: reversible cerebral vasoconstriction syndrome (RCVS), subdural hematoma, convexity subarachnoid hemorrhage

(Received: 25-Mar-22)