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Kalashnikova L.A.

Research Center of Neurology

Konovalov R.N.

Research Center of Neurology

Dobrynina L.A.

Research Center of Neurology

Reversible cerebral vasoconstriction syndrome and ischemic stroke

Authors:

Kalashnikova L.A., Konovalov R.N., Dobrynina L.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(12‑2): 17‑23

DOI: 10.17116/jnevro202312312217

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Table of contents

REVERSIBLE CEREBRAL VASOCONSTRICTION SYNDROME AND ISCHEMIC STROKE
REVERSIBLE CEREBRAL VASOCONSTRICTION SYNDROME AND ISCHEMIC STROKE

To cite this article:

Kalashnikova LA, Konovalov RN, Dobrynina LA. Reversible cerebral vasoconstriction syndrome and ischemic stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2023;123(12‑2):17‑23. (In Russ.)
https://doi.org/10.17116/jnevro202312312217

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The article describes a 45-year-old female patient with recurrent transient ischemic attacks and ischemic stroke due to spontaneous spasm of the middle cerebral artery, the anterior cerebral artery and distal part of the internal cerebral artery on the left, verified by MR angiography and CT angiography. It is assumed that the spasm caused damage to the vascular wall, an increase in its permeability, the development of edema, inflammation and subsequent fibrosis, therefore a complete restoration of the arterial lumen did not occur.

Keywords:

reversible cerebral vasoconstriction
ischemic stroke
transient ischemic attacks
MR-angiography
CT-angiography
high-resolution vascular wall imaging

Authors:

Kalashnikova L.A.

Research Center of Neurology

Konovalov R.N.

Research Center of Neurology

Dobrynina L.A.

Research Center of Neurology

Received:

12.09.2023

Accepted:

14.09.2023

Close metadata

References:

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  2. Ducros A, Boukobza M, Porcher R, et al. The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome. A prospective series of 67 patients. Brain. 2007;130(Pt 12):3091-3101. https://doi.org/10.1093/brain/awm256
  3. Singhal AB, Hajj-Ali RA, Topcuoglu MA, et al. Reversible cerebral vasoconstriction syndromes: analysis of 139 cases. Arch Neurol. 2011;68(8):1005-1012. https://doi.org/10.1001/archneurol.2011.68
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  8. Klocheva EG, Goldobin VV. Diagnosis of reversible central vasoconstriction syndrome: clinical manifestations and data of methods of radiation diagnostics Radiation diagnostics and therapy. 2018;3(9):50-55. (In Russ.). https://doi.org/10.22328/2079-5343-2018-9-3-50-55
  9. Chen S-P, Jong-Ling Fuh, Shuu-Jiun Wang. Reversible cerebral vasoconstriction syndrome: an under-recognized clinical emergency. Therapeutic Advances in Neurological Disorders. 2010;3:161-167.  https://doi.org/10.1177/1756285610361795
  10. Patel SD, Topiwala K, Oliver FO, et al. Outcomes Among Patients With Reversible Cerebral Vasoconstriction Syndrome: A Nationwide United States Analysis Stroke. Stroke. 2021;52(12):3970-3977. https://doi.org/10.1161/STROKEAHA.121.034424
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  13. Choi HA, Lee MJ, Chung C-S. Cerebral endothelial dysfunction in reversible cerebral vasoconstriction syndrome: a case-control study. J Headache Pain. 2017;18(1):29.  https://doi.org/10.1186/s10194-017-0738-x
  14. Lee MJ, Cha J, Choi HA, et al. Blood-brain barrier breakdown in reversible cerebral vasoconstriction syndrome: Implications for pathophysiology and diagnosis. Ann Neurol. 2017;81(3):454-466.  https://doi.org/10.1002/ana.24891
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  20. Topcuoglu MA, Singhal AB. Hemorrhagic Reversible Cerebral Vasoconstriction Syndrome Features and Mechanisms. Stroke. 2016;47:23-29.  https://doi.org/10.1161/STROKEAHA.116.013136
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