A case of reversible cerebral vasoconstriction syndrome with intracranial hemorrhage

Abstract

A 54-year-old woman complained about a headache. Six days later, she developed subcortical hemorrhage (4 × 4 × 5 cm) due to reversible cerebral vasoconstriction syndrome (RCVS). She underwent a craniotomy procedure and maintained oral administration of verapamil. She suffered from higher brain dysfunction, was transferred to convalescent rehabilitation hospital at mRS3 stage, and recovered to mRS0 stage in three months. However, because there was cognitive decline such as inability to calculate and because there was a ventricular enlargement on the image, we performed an LP shunt procedure under the judgment of secondary hydrocephalus. Her cognitive function has improved, and the postoperative course is going smoothly.

Keywords

• Reversible cerebral vasoconstriction syndrome
• Intracranial hemorrhage