Do Not Ignore a Headache

Do Not Ignore a Headache

A thunderclap headache. Postpartum cerebrovascular disease. Sub-arachnoid hemorrhage headache. Rear reversible encephalopathy. Primary and benign vascular lesions of the central nervous system. Call Fleming's syndrome. I do not throw your dictionary. These are the sudden onset of headache cerebral artery blood flow changes. Recent opinion tends to aggregate all these kinds of headaches a common term, reversible cerebral vasoconstriction  syndrome (garbage truck).

What is the garbage truck?

Reduced blood flow the RCVS results suddenly lead to parts of the brain, cerebral artery narrowing. In some cases, you can also see, subarachnoid hemorrhage. Garbage trucks usually diagnosed using magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) and the elimination of other known causes of headache. A peculiar feature of this disease is persistent cerebral vasoconstriction up to three months after headache. Sometimes, a series of contraction - known as the "Pearl of a string 'appearance - have noticed, however, there is little knowledge, the pathophysiology of the actual.

Women are more likely than men RCVS. In a study conducted by the DUCROS and his colleagues, 90% of the garbage truck and diagnosed patients were female, with an average age of 46 years.

The RCVS how from other cerebrovascular disease What is the difference?

àRCVS and stroke and transient ischemic attack, a significant difference is that unlike a stroke, the garbage trucks do not cause atherosclerosis. However, garbage trucks, may result in patients susceptible to recurrent stroke.

Migraine pathological state of a well-known and cerebrovascular network. The jury is still out whether migraine is caused by blood vessels sudden expansion or contraction of blood vessels, thereby reducing the cranial circulation. Cerebral artery to join the circle of Willis, called a loop. There is some evidence that the incomplete circle of Willis are more likely to suffer from migraine than a complete cycle. The association between the RCVS and the circle of Willis is not yet displayed. à significant differences between RCVS and RCVS migraine headache attack process 'aura' accessories sensory symptoms.

The RCVS how diagnosis?

The RCVS diagnosis is complex, due to the fact that it is known, i.e. with specific physiological state, such as postpartum state. Complicate the diagnosis of RCVS Another factor is the fact that of the patient's symptoms are highly variable. A sudden headache, may be associated with subdural or subarachnoid hemorrhage, and vasoconstriction, is obliged to kill a common symptom. However, in one case, the patient suffered thunderclap headache, but the initial cranial angiography image display normal flow. Deterioration of the patient's health status, despite the subsequent period of normal blood flow to the brain, and eventually suffered ischemic stroke patients go into a coma. Although the patient eventually recovered, to see those garbage trucks in other cases, the introduction of symptoms and progress has been quite different.

The garbage truck pediatric case also documented. A 12-year-old boy in accordance with the to triptans government's sudden headache and quadriplegic. Magnetic resonance imaging and magnetic resonance angiography revealed the consistent pattern of vasoconstriction and RCVS.

The RCVS how treatment?

Since the the exact pathophysiological garbage truck is not completely deciphered, treatment options are limited. Has been used to treat the the RCVS like nimodipene and verapamil drug. Recovery from RCVS is achieved in about 90% of the case. Some people may be subject to permanent neurological damage RCVS attack and mortality has been noted in a small number of cases.