Abstract
SUMMARY: We report a case of severe RCVS treated with a combination of selective intra-arterial verapamil infusions and intracranial angioplasty, resulting in angiographic and clinical improvement. Endovascular techniques more commonly used in the treatment of SAH-induced vasospasm are potentially important adjuncts to systemic drug therapy in the management of severe RCVS.
Abbreviations
- ACA
- anterior cerebral artery
- CNS
- central nervous system
- FLAIR
- fluid-attenuated inversion recovery
- ICA
- internal carotid artery
- MCA
- middle cerebral artery
- MRA
- MR angiography
- PCA
- posterior cerebral artery
- PRES
- posterior reversible encephalopathy syndrome
- PTA
- percutaneous transluminal angioplasty
- RCVS
- reversible cerebral vasoconstriction syndrome
- SAH
- subarachnoid hemorrhage
- © 2011 by American Journal of Neuroradiology
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