Contributor: Aaron Lessen, MD

Educational Pearls:

When evaluating a thunderclap headache, don't forget RCVS!
- RCVS: reversible cerebral vasoconstriction syndrome
- Due to reversible spasms of cerebral blood vessels
Can sometimes be seen on CTA or MRA, but often the imaging is normal and formal angiograms only occasionally show it
It can be caused by medications, intense physical activity, orgasm, and postpartum conditions, but the exact etiology is unknown
Typically seen in females in their 40s
Can result in bleeding, strokes, and seizures
There is no good treatment, but stopping the suspected offending agent may help

References

Sattar A, Manousakis G, Jensen MB. Systematic review of reversible cerebral vasoconstriction syndrome. Expert Rev Cardiovasc Ther. 2010;8(10):1417-1421. doi:10.1586/erc.10.124

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

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