02.04.2013 Views

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

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A B<br />

C<br />

(A) Headframe used for bedside TCD examination.<br />

Breath Holding Index<br />

%(V apnea-V baseline)<br />

V baseline x t apnea<br />

Normal = 1.2 ± 0.6<br />

(B) Representative CT-angiogram showing multifocal segmental stenosis<br />

(“beading”) of the bilateral middle cerebral arteries, basilar, posterior<br />

cerebral, and superior cerebellar arteries.<br />

(C) TCD spectrum showing elevated mean flow velocity in the left MCA.

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