Abstract

RUANO, Pilar Enriquez; ARIZA-VARON, Michael; ENRIQUEZ RUANO, Maira Nataly  and  NAVARRO, Cristian Eduardo. Valsalva maneuver induced-reversible cerebral vasoconstriction syndrome: Case report and literature review. Acta Neurol Colomb. [online]. 2020, vol.36, n.2, pp.81-86. ISSN 0120-8748.  https://doi.org/10.22379/24224022282.

Reversible cerebral vasoconstriction syndrome is a clinical-radiological entity characterized by severe and hyperacute onset-thunderclap headache, with or without additional neurological signs and symptoms in relation to a segmental cerebral arterial vasoconstriction that resolves spontaneously at around 3 months. Its clinical manifestations are similar to other diseases, and additionally there are multiple associated etiological factors; early diagnosis becomes a challenge, but is essential to establish proper treatment and prevent complications. We present the case of a female patient in whom the repetitive performance of the Valsalva maneuver without another concomitant factor was documented as etiology, the interventions performed are presented and a narrative review of the topic is made with emphasis on differential diagnosis.

Keywords : cerebral angiography; intracranial vasospasm; reversible cerebral vasoconstriction syndrome; thunderclap headache; Valsalva maneuver (MeSH).

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