Call Fleming syndrome

Case contributed by Dr Avni K P Skandhan

Presentation

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. 

PlayAdd to Share

Case Information

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

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.