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Reversible Cerebral Vasoconstriction Syndrome linked to Acute Ischemic Strokes and Papilledema

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Complications from RCVS resulted in recurrent strokes and papilledema in a 42-year-old woman, and most initially resolved without intervention.
Initial diagnostic imaging showed an acute infarct in the parietal lobe and PRES, leading to the suspicion of RCVS and subsequent progressive vasospasm.
Management utilized various agents including milrinone and calcium channel blockers, highlighting a potentially insufficient standard therapy in severe cases.
Early recognition of risk factors and timely treatment escalation are crucial for improving RCVS prognosis and addressing its complexities.

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Case report reveals recurrent strokes in a woman with RCVS, indicating need for versatile treatment including milrinone and calcium channel blockers.

Asmar et al. (2025) studied this question.

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Case report reveals recurrent strokes in a woman with RCVS, indicating need for versatile treatment including milrinone and calcium channel blockers.