Reversible cerebral vasoconstriction syndrome

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Reversible cerebral vasoconstriction syndrome Dr Anne Ducros, MD The Lancet Neurology Volume 11, Issue 10, Pages 906-917 (October 2012) DOI: 10.1016/S1474-4422(12)70135-7 Copyright © 2012 Elsevier Ltd Terms and Conditions

Figure Lesions in patients with reversible cerebral vasoconstriction syndrome (A) CT (left) and T2*-weighted MRI (right) scans showing a bilateral occipital haematoma with interhemispheric subarachnoid haemorrhage in a 57-year-old-woman who also had a left capsulothalamic haematoma (not shown). (B) MRI (left) showing bilateral cortical–subcortical areas of high signal on fluid-attenuated inversion recovery sequences consistent with posterior reversible encephalopathy syndrome in a 36-year-old woman post partum. Follow-up MRI (right) at 6 weeks was normal. (C) Diffusion-weighted MRI showing a left cerebellar infarction (top), a right occipital infarction (bottom), and patchy small areas of restricted diffusion at the border zone between the right anterior and middle cerebral arteries (arrow) in a 33-year-old female cannabis smoker. (D) Magnetic resonance angiogram showing segmental narrowings (arrows) of the middle and anterior cerebral arteries in the patient shown in (A). (E) Transfemoral angiogram showing segmental narrowings of the branches of the anterior cerebral artery (arrows) in a 58-year-old woman with a left frontal haematoma and subarachnoid haemorrhage in several sulci. A follow-up angiogram at 2 months was normal. The Lancet Neurology 2012 11, 906-917DOI: (10.1016/S1474-4422(12)70135-7) Copyright © 2012 Elsevier Ltd Terms and Conditions