Reversible Cerebral Vasoconstriction Syndrome Presenting With Visual Field Defects

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
Meisha L RavenDaniel W Knoch

Abstract

A 45-year-old woman with a history of depression and anxiety, treated with selective serotonin reuptake inhibitors (SSRIs), experienced acute, recurrent, and severe bifrontal headaches. Over time, she developed a left homonymous hemianopia and mental status changes. MRA revealed segmental vasoconstriction of cerebral arteries in multiple vascular distributions. She was treated with a calcium-channel blocker and magnesium, and there was resolution of her symptoms and cerebrovascular changes. Her clinical course and neuroimaging findings were consistent with reversible cerebral vasoconstriction syndrome. Although rare, this disorder frequently manifests with visual complaints. Although the prognosis is generally favorable, patients with this syndrome require prompt diagnosis and care directed to avoid complications including stroke, seizure, and subarachnoid hemorrhage.

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Citations

Jul 31, 2016·Current Pain and Headache Reports·Gabriella Szatmáry
Mar 29, 2021·Journal of Medical Case Reports·Rijo HayashiShigeki Machida

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