02.04.2013 Views

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

Reversible Cerebral Vasoconstriction Syndromes (RCVS)

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<strong>RCVS</strong> and Migraine<br />

Is <strong>RCVS</strong> simply a severe migraine attack?<br />

Several differences between migraine and <strong>RCVS</strong>…<br />

- Migraine has vascular and neuronal basis<br />

- Angiogram in migraine invariably normal<br />

- Migraine is a primary headache disorder; while<br />

headache in <strong>RCVS</strong> may be ‘symptomatic’<br />

- Migraine recurs for years, <strong>RCVS</strong> rarely recurs<br />

- Only 25% of pts with <strong>RCVS</strong> have prior migraine<br />

Singhal AB, Neurology 2002

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