Reversible Cerebral Vasoconstriction Syndromes and Primary Angiitis of the Central Nervous System: Clinical, Imaging, and Angiographic Comparison


Singhal A. B. , Topcuoglu M. A. , Fok J. W. , KURŞUN O., Nogueira R. G. , Frosch M. P. , ...Daha Fazla

ANNALS OF NEUROLOGY, cilt.79, ss.882-894, 2016 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 79 Konu: 6
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1002/ana.24652
  • Dergi Adı: ANNALS OF NEUROLOGY
  • Sayfa Sayıları: ss.882-894

Özet

Reversible cerebral vasoconstriction syndromes (RCVS) and primary angiitis of the central nervous system (PACNS) are invariably considered in the differential diagnosis of new cerebral arteriopathies. However, prompt and accurate diagnosis remains challenging. Here we compared the features of 159 RCVS to 47 PACNS patients and developed criteria for prompt bedside diagnosis. Recurrent thunderclap headache (TCH), and single TCH combined with either normal neuroimaging, border zone infarcts, or vasogenic edema, have 100% positive predictive value for diagnosing RCVS or RCVS-spectrum disorders. In patients without TCH and positive angiography, neuroimaging can discriminate RCVS (no lesion) from PACNS (deep/brainstem infarcts).