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Subdural hematoma with reversible cerebral vasoconstriction syndrome: a case report
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- M.D. Ikuta Genki
- Department of Neurosurgery, Kumamoto City Hospital
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- M.D., Ph.D. Makino Keishi
- Department of Neurosurgery, Kumamoto City Hospital
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- M.D., Ph.D. Takamatsu Koutaro
- Department of Neurology, Kumamoto City Hospital
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- M.D., Ph.D. Takada Akira
- Department of Neurosurgery, Kumamoto City Hospital
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- M.D., Ph.D. Wada Kuniyasu
- Department of Neurology, Kumamoto City Hospital
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- M.D., Ph.D. Hashimoto Yoichiro
- Department of Neurology, Kumamoto City Hospital
Bibliographic Information
- Other Title
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- 雷鳴頭痛の発症早期に硬膜下血腫を併発したreversible cerebral vasoconstriction syndrome（RCVS）の1例
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Description
<p>A 71-year-old man had persistent cervical pain secondary to thunderclap headache during sleep. MRI conducted the next morning revealed subdural hematoma and convexity subdural hemorrhage on the right occipital region, and the patient was hospitalized. MRA showed vascular narrowing in the bilateral PCA. Follow-up MRA on day 8 of admission showed aggravated vascular narrowing of PCA, indicative of reversible cerebral vasoconstriction syndrome (RCVS). The patient was treated with a calcium-channel antagonist. Post-discharge MRA showed improvement of PCA narrowing, and the diagnosis of RCVS was confirmed.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 62 (9), 732-735, 2022
Societas Neurologica Japonica
