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Case Reports
. 2018 Jun 4:4:11.
doi: 10.1186/s41016-018-0118-7. eCollection 2018.

Reversible cerebral vasoconstriction syndrome presenting as an isolated primary intraventricular hemorrhage

Katarina Dakay  1 , Ryan A McTaggart  2 , Mahesh V Jayaraman  2 , Shadi Yaghi  1 , Linda C Wendell  3
Affiliations
Case Reports

Reversible cerebral vasoconstriction syndrome presenting as an isolated primary intraventricular hemorrhage

Katarina Dakay et al. Chin Neurosurg J. .

Abstract

Background: Primary intraventricular hemorrhage is an uncommon cause of stroke and is often associated with longstanding, uncontrolled hypertension. Reversible cerebral vasoconstriction is also an uncommon condition characterized by reversible constriction of intracerebral vessels, which can lead to ischemic or hemorrhagic strokes.

Case presentation: We describe a case of isolated primary intraventricular hemorrhage secondary to reversible cerebral vasoconstriction syndrome triggered by pseudoephedrine.

Conclusions: Reversible cerebral vasoconstriction syndrome is a rare cause of primary intraventricular hemorrhage and should be considered in the differential in angiography-negative IVH when there is a history of vasoactive substance use.

Keywords: Primary intraventricular hemorrhage; Pseudoephedrine; Reversible cerebral vasoconstriction syndrome.

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Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
: Noncontrast head CT demonstrated intraventricular hemorrhage (IVH) a Initial head CT showing diffuse IVH in the bilateral lateral ventricles. b Follow-up head CT showing stable IVH
Fig. 2
Fig. 2
MRI brain [fast low angle shot (FLASH) sequence] demonstrated intraventricular hemorrhage; no causative underlying vascular lesion was identified
Fig. 3
Fig. 3
Catheter angiography of left vertebral artery demonstrated vasoconstriction. The arrows point to multifocal areas of irregular narrowing of the distal branches of the left posterior cerebral artery
See this image and copyright information in PMC

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