Reversible Cerebral Vasoconstriction Syndrome Presenting With Visual Field Defects.

Daniel Knoch // Meisha Raven // Publications // Jun 01 2016

PubMed ID: 26807800

Author(s): Raven ML, Ringeisen AL, McAllister AR, Knoch DW. Reversible cerebral vasoconstriction syndrome presenting with visual field defects. J Neuroophthalmol. 2016 Jun;36(2):187-90. doi: 10.1097/WNO.0000000000000339. PMID 26807800

Journal: Journal Of Neuro Ophthalmology : The Official Journal Of The North American Neuro Ophthalmology Society, Volume 36, Issue 2, Jun 2016

A 45-year-old woman with a history of depression and anxiety, treated with selective serotonin reuptake inhibitors (SSRIs), experienced acute, recurrent, and severe bifrontal headaches. Over time, she developed a left homonymous hemianopia and mental status changes. MRA revealed segmental vasoconstriction of cerebral arteries in multiple vascular distributions. She was treated with a calcium-channel blocker and magnesium, and there was resolution of her symptoms and cerebrovascular changes. Her clinical course and neuroimaging findings were consistent with reversible cerebral vasoconstriction syndrome. Although rare, this disorder frequently manifests with visual complaints. Although the prognosis is generally favorable, patients with this syndrome require prompt diagnosis and care directed to avoid complications including stroke, seizure, and subarachnoid hemorrhage.