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원발성 가역적뇌혈관수축증후군에 의한 가역적후뇌병증

 최윤호  ;  조유나  ;  고원  ;  류철형  ;  김원주  ;  최영철 
 Journal of Neurocritical Care, Vol.5(2) : 61-64, 2012 
Journal Title
Journal of Neurocritical Care
Issue Date
Reversible cerebral vasoconstriction syndrome ; Posterior reversible encephalopathy syndrome ; Thunderclap headache
Background: Reversible cerebral vasoconstriction syndrome (RCVS) is an underdiagnosed disease characterized by severe headaches with or without seizures, focal neurological deficits, and constriction of cerebral arteries which resolves spontaneously in 1-3 months. Posterior reversible encephalopathy syndrome (PRES) is typically characterized by headache, altered mental functioning, seizures, and visual loss associated with imaging findings of bilateral subcortical and cortical edema with a predominantly posterior distribution. Case Report: We present 49-year-old and 46-year-old females with thunderclap headache and seizure. MRI shows reversible cortical and subcortical lesions in both fronto-parieto-occipital lobes. And magnetic resonance angiography shows reversible multifocal luminal narrowing of distal cerebral vessels. Conclusion: Primary RCVS may occur as a cause of PRES. We report two cases of non-hypertensive PRES with seizure due to primary RCVS presenting thunderclap headache.
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1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Joo(김원주) ORCID logo https://orcid.org/0000-0002-5850-010X
Lyoo, Chul Hyoung(류철형) ORCID logo https://orcid.org/0000-0003-2231-672X
Cho, Yu Na(조유나)
Choi, Young Chul(최영철) ORCID logo https://orcid.org/0000-0001-5525-6861
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