Reversible Cerebral Vasoconstriction Syndrome and Posterior Reversible Encephalopathy Syndrome Presenting with Deep Intracerebral Hemorrhage in Young Women

Won Jae Lee; Je Young Yeon; Kyung-Il JO; Jong-Soo Kim; Seung-Chyul Hong

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저자정보: Won Jae Lee (Samsung Medical Center Sungkyunkwan University School of Medicine) Je Young Yeon (Samsung Medical Center Sungkyunkwan University School of Medicine) Kyung-Il JO (Samsung Medical Center Sungkyunkwan University School of Medicine) Jong-Soo Kim (Samsung Medical Center Sungkyunkwan University School of Medicine) Seung-Chyul Hong (Samsung Medical Center Sungkyunkwan University School of Medicine)

저널정보: 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.3

발행연도: 2015.1

수록면: 239 - 245 (7page)

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Reversible cerebral vasoconstriction syndrome (RCVS) is a group of syndromes characterized by reversible segmental constriction of cerebral arteries. Posterior reversible encephalopathy syndrome (PRES) is another clinical-radiologic syndrome characterized by reversible, posterior-predominant brain edema. Although the exact causes of these reversible syndromes are poorly understood, these entities may share some common pathophysiologic elements leading to hemorrhagic strokes and rarely, deep intracerebral hemorrhage (ICH). Recent studies have suggested that endothelial dysfunction is a common pathophysiologic factor associated with these syndromes. We report on two young female patients who presented with deep ICH and were later diagnosed as RCVS and PRES. Both patients suffered from vasoconstriction and delayed ischemic stroke. Early detection of distinguishing clinical-radiologic features associated with these reversible syndromes and removing triggers would facilitate successful treatment with no complications.

참고문헌 (19)

참고문헌 신청

Bartynski WS / 2008 / Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features / AJNR Am J Neuroradiol 29(6):1036~1042

Bartynski WS / 2008 / Posterior reversible encephalopathy syndrome, part 2: controversies surrounding pathophysiology of vasogenic edema / AJNR Am J Neuroradiol 29(6):1043~1049

Bartynski WS / 2008 / Catheter angiography, MR angiography, and MR perfusion in posterior reversible encephalopathy syndrome / AJNR Am J Neuroradiol 29(3):447~455

Brandes RP / 2014 / Endothelial dysfunction and hypertension / Hypertension 64(5):924~928

Calabrese LH / 2007 / Narrative review: reversible cerebral vasoconstriction syndromes / Ann Intern Med 146(1):34~44

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