Superior Cerebellar Artery Dissection in a Patient Diagnosed with Reversible Cerebral Vasoconstriction Syndrome: A Case Report

Authors

  • Tiago Pedro Department of Neuroradiology, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal https://orcid.org/0000-0003-3953-9049
  • Ruben Maia Department of Neuroradiology, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
  • Rafaela Costa Department of Neurology, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Portugal
  • Bárbara Martins Department of Neurology, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Portugal
  • Joana Ribeiro Department of Medicine, Centro Hospitalar do Médio Tejo, E.P.E., Tomar, Portugal
  • Rui Domingues Department of Medicine, Hospital de Braga, E.P.E., Braga, Portugal
  • Teresa Brito Department of Medicine, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
  • Pedro Abreu Department of Neurology, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Portugal
  • Pedro Castro Department of Neurology, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Portugal; Cardiovascular Research and Development Unit, Faculty of Medicine of University of Porto, Portugal
  • Ricardo Soares-dos-Reis Department of Neurology, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal; Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Portugal; i3s - institute for research and innovation in health, University of Porto, Portugal

DOI:

https://doi.org/10.46531/sinapse/CC/220056/2022

Keywords:

Cerebral Arterial Diseases/ complications, Cerebral Arteries, Cerebrovascular Disorders, COVID-19, Vasoconstriction

Abstract

Arterial dissection is an uncommon complication of reversible cerebral vasoconstriction syndrome (RCVS). We describe the case of a 35-year-old woman with a migraine history who presented with recurrent thunderclap headache and focal neurological signs, including right hemiataxia. She had been diagnosed with COVID-19 disease two weeks earlier. Neuroimaging revealed multifocal stenosis of the posterior circulation arteries and dissection of the right superior cerebellar artery. She improved significantly throughout her one-week hospitalization and maintained only mild ataxia. The interplay between COVID-19 disease, RCVS, and arterial dissection requires further investigation.

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Published

2024-04-20

How to Cite

1.
Pedro T, Maia R, Costa R, Martins B, Ribeiro J, Domingues R, et al. Superior Cerebellar Artery Dissection in a Patient Diagnosed with Reversible Cerebral Vasoconstriction Syndrome: A Case Report. Sinapse [Internet]. 2024 Apr. 20 [cited 2024 Jul. 15];22(4):169-72. Available from: https://sinapse.pt/index.php/journal/article/view/51

Issue

Vol. 22 No. 4 (2022): October - December

Section

Case Reports

License

Copyright (c) 2024 Tiago Pedro, Ruben Maia, Rafaela Costa, Bárbara Martins, Joana Ribeiro, Rui Domingues, Teresa Brito, Pedro Abreu, Pedro Castro, Ricardo Soares-dos-Reis

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.