Call Fleming syndrome

Case contributed by Dr Avni K P Skandhan


A patient presented with severe, sudden onset of throbbing orbito frontal headache

Patient Data

Age: 30 years
Gender: Male

MRI showed focal SAH with further DSA angiogram showing multifocal vasospasms

Case Discussion

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. 

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Case information

rID: 25301
Published: 18th Oct 2013
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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