Diagnostic criteria for RCVS
Criteria |
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Severe, acute headaches, with or without additional neurologic signs or symptoms |
Uniphasic disease course with no new symptoms after 1 month of onset |
No evidence for aneurysmal SAH |
Normal or near-normal findings on CSF analysis (protein level, <80 mg/dL; leukocyte level, <10/mm3; normal glucose level) |
Multifocal segmental cerebral artery vasoconstriction demonstrated on either catheter angiography or indirectly on CTA/MRA |
Reversibility of angiographic abnormalities within 12 weeks after onset. If death occurs before the follow-up studies are completed, postmortem rules out such conditions as vasculitis, intracranial atherosclerosis, and aneurysmal SAH, which can also manifest with headache and stroke |