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Benign Angiopathy of the Central Nervous System or Reversible Cerebral Vasoconstriction Syndrome

Mira Ivanković
Andrijana Bogoje-Raspopović
Marina Drobac
Dražana Mamić-Martinović
Maro Vodopić

Abstract

Benign angiopathy of the central nervous system is a subset of primary angiitis of the central nervous system characterized by “benign” course. It means that changes of cerebral vessels are reversible after treatment with corticosteroids and calcium channel blockers, so these abnormalities are believed to reflect vasospasm rather than true vasculitis. The diagnosis is made on the basis of clinical presentation, brain magnetic resonance imaging and cerebral angiography. We present a young man with acute onset of headache and neurologic impairment secondary to ischemic stroke with intracerebral and subarachnoid hemorrhage. Cerebral angiography showed characteristic findings of diffuse vasculitis but good response to treatment with corticosteroids and calcium channel blockers distinguish this benign angiopathy from the more aggressive form of the central nervous system vasculitis.

Keywords

Cerebrovascular disorders – diagnosis; Cerebrovascular disorders – drug therapy; Cerebral arterial diseases – complications; Benign angiopathy; Vasoconstriction; Cerebral angiography; Corticosteroids; Calcium channel blockers; Case Ceport

Hrčak ID:

79496

URI

https://hrcak.srce.hr/79496

Publication date:

28.6.2011.

Article data in other languages: croatian

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