출산 후 발생한 가역적 뇌혈관 수축 증후군 1예
A Case of Postpartum Reversible Cerebral Vasoconstriction Syndrome
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참고문헌
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초록
본 증례는 건강했던 젊은 여성이 출산 이후 벼락두통으로내원하였고 뇌자기공명혈관 조영술을 이용하여 RCVS로 진단한 증례로 문헌고찰과 함께 이를 보고하는 바이다.
Abstract
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by development of a severe thunderclap headache withor without other acute neurological symptoms, and by multifocal or diffuse segmental vasoconstriction of the cerebral arteries thatresolves spontaneously within 3 months. Several precipitating factors have been identified; these include the use of adrenergic orserotonergic drugs and postpartum status. Diagnosis is aided by the dynamic nature of the clinicoradiological features, including a‘beads-on-a-string’ appearance of the cerebral arteries on angiography, and complete (or near-complete) resolution of the conditionevident on repeat angiography performed 3 months after initial onset. Calcium channel blockers such as nimodipine seem to relievethe severe headache within 48 h. Here, we present the case of a female who developed RCVS postpartum.
참고문헌 (10)
- Calabrese LH, "Narrative review: reversible cerebral vasoconstriction syndromes", Ann Intern Med, 146, pp.34~44 (2007)
- Ducros A, "Reversible cerebral vasoconstriction syndrome", Pract Neurol, 9, pp.256~267 (2009)
- Ducros A, "The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome. A prospective series of 67 patients", Brain, 130(Pt 12), pp.3091~3101 (2007)
- Chen SP, "Magnetic resonance angiography in reversible cerebral vasoconstriction syndromes", Ann Neurol, 67, pp.648~656 (2010)
- Singhal AB, "Reversible cerebral vasoconstriction syndromes: analysis of 139 cases", Arch Neurol, 68, pp.1005~1012 (2011)
- Noskin O, "Diffuse cerebral vasoconstriction (Call-Fleming syndrome) and stroke associated with antidepressants", Neurology, 67, pp.159~160 (2006)
- Singhal AB, "Case records of the Massachusetts general hospital. Case 8-2009. A 36-year-old woman with headache, hypertension, and seizure 2 weeks post partum", N Engl J Med, 360, pp.1126~1137 (2009)
- Freilinger T, "Reversible cerebral vasoconstriction syndrome associated with hormone therapy for intrauterine insemination", Cephalalgia, 30, pp.1127~1132 (2010)
- Chen SP, "Reversible cerebral vasoconstriction syndrome: current and future perspectives", Expert Rev Neurother, 11, pp.1265~1276 (2011)
- Néel A, "Challenging the diagnosis of primary angiitis of the central nervous system:a single-center retrospective study", J Rheumatol, 39, pp.1026~1034 (2012)