Presentation
A number of thunderclap headaches over a period of weeks. No blood or xanthochromia on CSF.
Patient Data
Age: 50 years
Gender: Female
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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Initial CTA appears unremarkable with no vascular changes.
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Repeat CTA three days later, after a further headache revealed marked beading of all intracranial branches, best demonstrated in the ACAs. An occipital infarct is also evident.
Case Discussion
Features are consistent with reversible cerebral vasoconstriction syndrome.