Reversible cerebral vasoconstriction syndrome: treatment with combined intra-arterial verapamil infusion and intracranial angioplasty

H Farid; J K Tatum; C Wong; V V Halbach; S W Hetts

doi:10.3174/ajnr.A2341

Reversible cerebral vasoconstriction syndrome: treatment with combined intra-arterial verapamil infusion and intracranial angioplasty

AJNR Am J Neuroradiol. 2011 Nov-Dec;32(10):E184-7. doi: 10.3174/ajnr.A2341. Epub 2011 Jan 27.

Authors

H Farid¹, J K Tatum, C Wong, V V Halbach, S W Hetts

Affiliation

¹ Department of Radiology, University of California, San Francisco, 94143-0628, USA. hfarid@radiology.ucsf.edu

Abstract

We report a case of severe RCVS treated with a combination of selective intra-arterial verapamil infusions and intracranial angioplasty, resulting in angiographic and clinical improvement. Endovascular techniques more commonly used in the treatment of SAH-induced vasospasm are potentially important adjuncts to systemic drug therapy in the management of severe RCVS.

Publication types

Case Reports

MeSH terms

Angioplasty / methods*
Combined Modality Therapy
Female
Headache / diagnosis
Headache / prevention & control*
Humans
Infusions, Intra-Arterial
Middle Aged
Syndrome
Treatment Outcome
Vasodilator Agents / administration & dosage
Vasospasm, Intracranial / diagnosis
Vasospasm, Intracranial / therapy*
Verapamil / administration & dosage*

Substances

Vasodilator Agents
Verapamil