AI Article Synopsis

  • This text discusses a unique case of reversible cerebral vasoconstriction syndrome (RCVS) occurring in a patient with Takayasu's arteritis (TA), which presented with intense headaches and seizures.
  • Imaging studies showed signs of posterior reversible encephalopathy syndrome and significant vasoconstriction in various arteries.
  • The authors suggest that RCVS should be considered when diagnosing thunderclap headaches with related vascular abnormalities in patients with connective tissue diseases like Takayasu's arteritis.

Article Abstract

We herein present the first reported case of reversible cerebral vasoconstriction syndrome (RCVS) in Takayasu's arteritis (TA), in a patient with severe thunderclap headache and generalized tonic-clonic seizure. Magnetic resonance imaging and angiography revealed posterior reversible encephalopathy syndrome, followed by severe vasoconstriction in multiple arteries. RCVS should be included in the differential diagnosis of thunderclap headache attacks with radiologic intracranial vascular abnormalities in connective tissue diseases, including TA.

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http://dx.doi.org/10.2169/internalmedicine.50.5185DOI Listing

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