Three paediatric patients with reversible cerebral vasoconstriction syndromes

H. Y. Liu, J. L. Fuh, J. F. Lirng, S. P. Chen, S. J. Wang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Reversible cerebral vasoconstriction syndromes (RCVS) occur predominantly in middle-aged women. Only one child with RCVS has ever been reported. We report three boys (aged 10, 16 and 10 years) who had multiple thunderclap headaches, including one boy with bath-related attacks. None of them had secondary causes. All their magnetic resonance angiography demonstrated reversible cerebral vasoconstrictions of the major arteries with increased cerebral blood flow velocities on transcranial colour-coded sonography studies. Two of the three had hypertensive surges during headache attacks. None of the three boys had seizure, stroke or other neurological deficits. However, a left occipital subcortical lesion of unknown nature was noted in one boy. The efficacy of calcium channel blockers was variable in these three boys. This report suggests that, although rare, RCVS should be considered in paediatric patients if they present with a history of multiple attacks of thunderclap headache.

Original languageEnglish
Pages (from-to)354-359
Number of pages6
JournalCephalalgia
Volume30
Issue number3
DOIs
StatePublished - Mar 2010

Keywords

  • Paediatrics
  • Reversible cerebral vasoconstriction syndromes
  • Thunderclap headache

Fingerprint

Dive into the research topics of 'Three paediatric patients with reversible cerebral vasoconstriction syndromes'. Together they form a unique fingerprint.

Cite this