Recurrence of reversible cerebral vasoconstriction syndrome: a long-term follow-up study

Neurology
Shih-Pin ChenShuu-Jiun Wang

Abstract

We aimed to investigate whether reversible cerebral vasoconstriction syndrome (RCVS) could recur and to identify the potential predictors of recurrence in a large cohort of patients. This study followed a cohort of 210 patients with RCVS in a hospital-based headache center from 2000 to 2012. All patients were regularly followed up by telephone after remission for RCVS and were particularly asked to return to our hospital immediately if they developed new acute, severe (i.e., thunderclap-like) headaches. Sequential neuroimaging studies were used to determine whether the patients had recurrent RCVS. One hundred sixty-eight patients were successfully followed. The response rate was 80.8%, and the mean follow-up period was 37.5 ± 24.4 (range 6-131) months. Eighteen patients (10.7%) returned to our hospital because of new thunderclap-like headaches, and 9 (5.4% of the total 168, and 50% of 18) were confirmed to have recurrent RCVS that occurred a mean 40.9 ± 27.2 (median 35, range 6-87) months after the initial bout. The incidence rate was 1.71 per 100 person-years (95% confidence interval 1.68-1.75). Having sexual activities as a trigger for thunderclap headaches (hazard ratio = 5.68, 95% confidence interval 1.11-29.15, p = 0.038) ...Continue Reading

Citations

Jun 18, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Murtaza Akhter, Shih-Pin Chen
Nov 5, 2016·Cephalalgia : an International Journal of Headache·Akiyuki Hiraga, Satoshi Kuwabara
Oct 1, 2019·Headache·Elizabeth Leroux, John Rothrock
Dec 18, 2019·Stroke; a Journal of Cerebral Circulation·Rosalie BoitetAnne Ducros
Dec 13, 2016·Neurology·Aneesh B Singhal, Mehmet A Topcuoglu
Sep 1, 2018·The Journal of Headache and Pain·Chun-Yu ChenShuu-Jiun Wang
Apr 23, 2020·Journal of Clinical Neurology·Joomee SongChin Sang Chung
Jan 9, 2020·Cephalalgia : an International Journal of Headache·Wei-Hsiang HsuYun-Lian Lin
May 1, 2017·Current Treatment Options in Neurology·Cecilia Cappelen-SmithDennis Cordato
Oct 20, 2018·Expert Review of Neurotherapeutics·Chih-Wen Yang, Jong-Ling Fuh
Jul 28, 2020·The Clinical Neuropsychologist·Zachary J ReschJason R Soble
May 18, 2017·Journal of Child Neurology·Samantha W Coffino, Robert H Fryer
Nov 9, 2020·Current Pain and Headache Reports·Yu-Hsiang Ling, Shih-Pin Chen
Dec 15, 2020·Annals of Neurology·Shih-Pin ChenShuu-Jiun Wang
Feb 15, 2021·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M GraslandC Hentzen
Mar 27, 2021·The Journal of Headache and Pain·Yu-Hsiang LingShih-Pin Chen
Apr 8, 2021·The Journal of Headache and Pain·Mansoureh ToghaParvin Ganji Ghelichi
Jul 20, 2021·Cephalalgia : an International Journal of Headache·Po-Tso LinShuu-Jiun Wang
May 30, 2021·Neurology·Jessica Magid-BernsteinHooman Kamel
Aug 10, 2021·Journal of the Academy of Consultation-Liaison Psychiatry·Tessa ManningAshley Walker
Aug 15, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Kristin Sophie LangeAnne Ducros

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