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가역뇌혈관수축증후군과 척추동맥박리에서 발생한 자세두통

Reversible Cerebral Vasoconstriction and Vertebral Artery Dissection Presenting as Positional Headache

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초록

Positional headache refers to a headache that worsens or improves with changes in posture. It is often secondary in nature, associated with various pathologies that may have serious consequences if left undiagnosed or untreated. The authors report a patient who complained of severe positional headache and was diagnosed with concurrent reversible cerebral vasoconstriction syndrome and vertebral artery dissection, thus highlighting the importance of considering such conditions in a patient with postural headaches.

Abstract

Positional headache refers to a headache that worsens or improves with changes in posture. It is often secondary in nature, associated with various pathologies that may have serious consequences if left undiagnosed or untreated. The authors report a patient who complained of severe positional headache and was diagnosed with concurrent reversible cerebral vasoconstriction syndrome and vertebral artery dissection, thus highlighting the importance of considering such conditions in a patient with postural headaches.

참고문헌 (10)

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  5. Calic Z, "Reversible cerebral vasoconstriction syndrome", Intern Med J, 45, pp.599~608 (2015)
  6. Ducros A, "Reversible cerebral vasoconstriction syndrome", Lancet Neurol, 11, pp.906~917 (2012)
  7. Mawet J, "Reversible cerebral vasoconstriction syndrome and cervical artery dissection in 20 patients", Neurology, 81, pp.821~824 (2013)
  8. Chen YC, "Vertebral artery dissection stroke in evolution presented with postural headache as initial manifestation", Neurol Int, 10, pp.7694~ (2018)
  9. Xie S, "Diagnostic potential of routine brain MRI and high-resolution, multi-contrast vessel wall imaging in the detection of internal carotid artery dissection", Front Neurol, 14, pp.1165453~ (2023)
  10. Tritanon O, "Utility of highresolution magnetic resonance vessel wall imaging in differentiating between atherosclerotic plaques, vasculitis, and arterial dissection", Neuroradiology, 65, pp.441~451 (2023)

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