Abstract

CAMPBELL-SILVA, SANTIAGO; GOMEZ-PINEDO, ROBERTO  and  RAMIREZ-BLANCO, LUIS. Reversible vasoconstriction syndrome Study and management proposal. Acta Med Colomb [online]. 2019, vol.44, n.3, pp.34-38. ISSN 0120-2448.  https://doi.org/10.36104/amc.2019.1213.

Reversible vasoconstriction syndrome is a group of clinical-radiological alterations that are characterized by severe sudden-onset headaches and reversible multifocal narrowing of the cerebral arteries. Most patients do not present with focal neurological deficit, although it can be seen in a small group, associated with cerebral edema, stroke or seizures. It is considered to be a benign process that causes disability and death in a minority of patients.

The term 'reversible vasoconstriction syndrome' has been proposed to unify a variety of clinical syndromes which are similar, but have different etiologies, and have originated various eponyms.

The apparently low frequency of reversible vasoconstriction syndrome and the way it presents make it a diagnostic challenge in the emergency room, and it may go unnoticed without an adequate medical history.

A case probably related to the use of isometeptene is presented. (Acta Med Colomb 2019; 44. DOI: https://doi.org/10.36104/amc.2019.1213)

Keywords : reversible cerebral vasoconstriction syndrome; Call-Fleming syndrome; thunderclap headache.

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