Reversible cerebral vasoconstriction syndrome combined with posterior reversible encephalopathy syndrome after heart transplantation. (August 2017)

• Record Type: Journal Article
• Authors: Ban, Seung Pil; Hwang, Gyojun; Kim, Chang Hyeun; Kwon, O-Ki
• Is Part Of: Journal of clinical neuroscience. Volume 42(2017:Aug.)
• Page Start: 118
• Page End: 121
• Publication Date: 2017-08
• Subjects: Reversible cerebral vasoconstriction syndrome -- Posterior reversible encephalopathy syndrome -- Vasoconstriction -- Cerebral infarction -- Immunosuppressant; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2017.03.042
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: RCVS and PRES seem to share clinical features and can occur together. Short-term follow-up with brain vascular imaging is necessary in cases of PRES. IA angioplasty could be helpful for patients with severe cerebral vasoconstriction. Abstract: Reversible cerebral vasoconstriction syndrome (RCVS) combined with posterior reversible encephalopathy syndrome (PRES) is a rare complication in patients treated with immunosuppressants. A 52-year-old male patient presented with seizures after heart transplantation. The patient was suspected of having PRES on brain images. Despite the strict blood pressure control, the patient presented with altered mentality and the brain images showed a newly developed large acute infarction. Digital subtraction angiography (DSA) revealed the classic "sausage on a string" appearance of the cerebral arteries – potential feature of RCVS. To our knowledge, this is the first case report to describe RCVS combined with PRES after heart transplantation.