Reversible cerebral vasoconstriction syndrome associated with putaminal hemorrhage

A 42-year-old woman with history of analgesic overuse and episodic migraine without aura presented thunderclap headache. She then ingested 4.5 g of dipyrone, 0.75 g of isometheptene, 0.45 g of caffeine and subsequently developed right hemiparesis and dysarthria. Brain computed tomography (CT) and di...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2014-07, Vol.72 (7), p.571-571
Main Authors: Kubota, Gabriel T, Melo, Eduardo S, Bor-Seng-Shu, Edson, Puglia-Junior, Paulo, Lucato, Leandro T, Conforto, Adriana B
Format: Article
Language:English
Subjects:
Adult
Brain - blood supply
Brain - diagnostic imaging
Cerebral Arteries
Female
Humans
Magnetic Resonance Angiography
NEUROSCIENCES
PSYCHIATRY
Putaminal Hemorrhage - complications
Putaminal Hemorrhage - diagnosis
Syndrome
Tomography, X-Ray Computed
Vasoconstriction
Vasospasm, Intracranial - diagnosis
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Summary:A 42-year-old woman with history of analgesic overuse and episodic migraine without aura presented thunderclap headache. She then ingested 4.5 g of dipyrone, 0.75 g of isometheptene, 0.45 g of caffeine and subsequently developed right hemiparesis and dysarthria. Brain computed tomography (CT) and digital subtraction angiography (DSA) are shown, respectively, in Figures 1A and 1B. Transcranial doppler (TCD) showed indirect signs of vasospasm. Symptoms subsided after 10 days.
ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/0004-282X20140072