Reversible cerebral vasoconstriction syndrome (RCVS): treatment

Evidence-based neurology checklist on reversible cerebral vasoconstriction syndrome (rcvs): treatment: Treatment Discontinue triggering agents Calcium channel blockers: Nimodipine, Nifedipine, or Verapamil Steroids: these are controversial as they may worsen RCVS Treatment of refractory cases

Treatment

  • Discontinue triggering agents
  • Calcium channel blockers: Nimodipine, Nifedipine, or Verapamil
  • Steroids: these are controversial as they may worsen RCVS

Treatment of refractory cases

References

  1. Ducros A, Boukobza M, Porcher R, Sarov M, Valade D, Bousser MG. The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome: a prospective sites of 67 patients. Brain 2007; 130:3091-3101.
  2. Ducros A, Bousser MG. Reversible cerebral vasoconstriction syndrome. Pract Neurol 2009; 9:256-267.
  3. Sattar A, Manousakis G, Jensen MB. Systematic review of reversible cerebral vasoconstriction syndrome. Expert Rev Cardiovasc Ther 2010; 8:1417-1421.
  4. Singhal AB, Topcuoglu MA. Glucocorticoid-associated worsening in reversible cerebral vasoconstriction syndrome. Neurology 2016; 88:228-236.
  5. Bouchard M, Verreault S, Gariépy JL, Dupré N. Intra-arterial milrinone for reversible cerebral vasoconstriction syndrome. Headache 2009; 49:142-145.
  6. And 4 more. Subscribe to see the full list

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