Reversible cerebral vasoconstriction syndrome in the context of recent cerebral venous thrombosis: Report of a case. (January 2016)

• Record Type: Journal Article
• Authors: Bourvis, Nadège; Franc, Julie; Szatmary, Zoltan; Chabriat, Hugues; Crassard, Isabelle; Ducros, Anne
• Is Part Of: Cephalalgia. Volume 36:Number 1(2016)
• Page Start: 92
• Page End: 97
• Publication Date: 2016-01
• Subjects: Secondary headache -- idiopathic intracranial hypertension -- venous stenting -- cerebral venous thrombosis -- reversible cerebral vasoconstriction syndrome; Headache -- Periodicals; 616.8491
• DOI: 10.1177/0333102415584359
• Languages: English
• ISSNs: 0333-1024

Abstract

Introduction: Reversible cerebral constriction syndrome and cerebral venous thrombosis are two rare conditions. Reversible cerebral constriction syndrome affects the cerebral arteries and the pathology is still largely unknown. To date, no physiological link with cerebral venous thrombosis has been reported. Case results: We report here the case of a 24-year-old woman who presented a reversible cerebral constriction syndrome in the setting of a cerebral venous thrombosis. Cerebral venous thrombosis had developed in her left lateral venous sinus, within the stent placed one year before, in order to treat an idiopathic intracranial hypertension. Discussion: The co-occurrence of cerebral venous thrombosis and reversible cerebral constriction syndrome in the same patient raises the issue of a potential link between them. We discuss the potential common trigger factors in this case: recent hormonal therapy; intracranial hypotension iatrogenically induced by lumbar puncture.