J Korean Neurol Assoc.  2017 Nov;35(4):219-222. 10.17340/jkna.2017.4.7.

Reversible Cerebral Vasoconstriction Syndrome after Heart Transplantation

Affiliations
  • 1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gyneo.lee@gmail.com

Abstract

Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by severe headaches with or without other acute neurological symptoms, and diffuse segmental constriction of cerebral arteries that resolves spontaneously within 3 months. A 44-year-old woman underwent heart transplantation due to primary amyloidosis with heart involvement. She started to have a seizure after three hours after the heart transplantation, and her consciousness was not recovered. Computed tomography and transcranial doppler sonography were used to diagnose RCVS, and contracted vessels were recovered after oral nimodipine administration.

Keyword

Reversible cerebral vasoconstriction syndrome; Heart transplantation; Transcranial doppler sonography

MeSH Terms

Adult
Amyloidosis
Cerebral Arteries
Consciousness
Constriction
Female
Headache
Heart Transplantation*
Heart*
Humans
Nimodipine
Seizures
Ultrasonography, Doppler, Transcranial
Vasoconstriction*
Nimodipine
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