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Reversible Cerebral Vasoconstriction Syndromes (RCVS)

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

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Endothelium<br />

• Modulates vascular caliber by producing and<br />

releasing EDRFs such as NO, PGI2, EDHF<br />

• Cerebrovascular endothelial dysfunction might<br />

be related to vasoconstriction in <strong>RCVS</strong>-PRES?<br />

• Increased plasma levels of soluble antiangiogenic<br />

factors (sFlt1, endoglin) documented<br />

in pre-eclampsia and may underlie the<br />

endothelium dysfunction.<br />

(Levin et al. NEJM 2004, 2006; Singhal et al, NEJM 2009)

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