Reversible cerebral vasoconstriction syndrome associated with subarachnoid hemorrhage triggered by hydroxyzine pamoate

Reversible cerebral vasoconstriction syndrome (RCVS) is a disease of unknown etiology characterized by sudden headaches with or without additional neurologic deficits. RCVS has been documented in association with ischemic stroke and convexity subarachnoid hemorrhage (SAH) , but there are no reports of RCVS associated with SAH in conjunction with hydroxyzine pamoate treatment. Therefore, this is the first case of RCVS associated with SAH and hydroxyzine pamoate followed-up with N-isopropyl[123I]-p-iodoamphetamine single photon emission computed tomography-cerebral blood flow (IMP-SPECT-CBF) imaging and 3.0T magnetic resonance imaging (MRI). A review of the pertinent literature is also included.
Source: Clinical Neurology and Neurosurgery - Category: Neurosurgery Authors: Tags: Case reports Source Type: research