Stroke, Vol 19, 1159-1170, Copyright © 1988 by American Heart Association
GK Call, MC Fleming, S Sealfon, H Levine, JP Kistler and CM Fisher
Vasoconstriction is not recognized as a cause of cerebrovascular disease
except in the vasospasm seen following subarachnoid hemorrhage and possibly
in migraine. However, we found four patients to have transient, fully
reversible vasoconstriction and dilatation prominently involving arteries
around the circle of Willis. All four patients were evaluated for severe
headaches and fluctuating or recurring motor or sensory deficits. No cause
for the clinical syndromes and angiographic abnormalities was found.
Similar patients are reported in the literature under various nosologies.
This newly recognized clinical- angiographic syndrome should be
differentiated from other known causes of vessel constriction and
dilatation; the precipitants of reversible vasoconstriction may then be
better defined.
ARTICLES
Reversible cerebral segmental vasoconstriction
Neurology Service, Massachusetts General Hospital, Boston.
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