Call Fleming syndrome
A patient presented with severe, sudden onset of throbbing orbito frontal headache
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MRI showed focal SAH with further DSA angiogram showing multifocal vasospasms
Call–Fleming syndrome is a part of the spectrum of Reversible Cerebral Vasoconstriction Syndrome (RCVS) . Thunderclap headache is the main clinical presentation. The classical radiological presentation is that of multisegmental vasospasm in the vessels of circle of willis. The post stenotic areas classicaly show dilatation. The resolution of this occurs within 8 to 12 weeks.