On the other hand, nimodipine was administered only to prevent further vasospasm
basics of Reversible Cerebral Vasoconstriction Syndrome (RCVS) RCVS typically presents with thunderclap headache due to diffuse cerebral vasospasm
• The half-life of oral verapamil allows convenient
Reversible cerebral vasoconstriction syndrome (RCVS) typically affects young patients and left untreated can result in hemorrhage or ischemic stroke
Reversible cerebral vasoconstriction syndrome (RCVS) is an uncommon and potentially serious condition of unclear aetiology, classically presenting with recurrent
In the literature, intra-arterial (IA) verapamil has been reported in a
The most common oral verapamil dosing regimen was controlled release 120 mg once daily
Both reviewers reported an angiographic response to IA verapamil in 88
Our report is unique in documenting chronic CC with
The intra-arterial (IA) use of vasodilators for RCVS has been reported for severe cases
The evidence supporting the use of verapamil in RCVS, and the rates of adverse drug reactions in the RCVS population, have not previously been evaluated systematically
that RCVS-associated vascular narrowing responds to intra-arterial verapamil even more robustly than typical SAH-in-duced vasospasm
1 ⇓ ⇓ ⇓ –5 RCVS is not a single disease entity but should be considered a common
recommend the combination of beta-blockers and verapamil without more
Verapamil is widely used to treat variant angina secondary to coronary vasospasm and has been reported to improve vasospasm without hypertensive intracranial complications
1,2 The syndrome has a mean age of onset in middle age and a slight female preponderance
Background Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by sudden onset thunderclap headache and multiple segmental reversible cerebral vasoconstrictions that improve within 3 months
Reversible cerebral vasoconstriction syndrome (RCVS) is a rare but increasingly recognized disorder with over 500 cases published in the literature
Because of these clinical characteristics, she was set on medication (calcium channel blocker -verapamil 240 mg daily and acetylsalicylic acid 300 mg daily) for probable RCVS
Calcium channel blockers, especially verapamil, nimodipine, and nicardipine, have been shown to benefit selected patients [2, 3]
Case description: We present an unusual case of an 18-year-old female who developed RCVS after embolization of a dural arteriovenous fistula with onyx embolic material
Differentiating RCVS from subarachnoid haemorrhage