Titre
Intra-arterial vasodilators infusion for management of reversible cerebral vasoconstriction syndrome in a 12-year-old girl: A case report.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Rizzati, F.
Auteure/Auteur
Marie, G.
Auteure/Auteur
Chanez, V.
Auteure/Auteur
Ferry, T.
Auteure/Auteur
Natterer, J.
Auteure/Auteur
Longchamp, D.
Auteure/Auteur
Saliou, G.
Auteure/Auteur
Perez, M.H.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2296-2360
Statut éditorial
Publié
Date de publication
2023
Volume
11
Première page
1042509
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports
Publication Status: epublish
Publication Status: epublish
Résumé
Reversible cerebral vasoconstriction syndrome (RCVS) is a vascular disease characterized by diffuse transient vasoconstriction and vasodilatation of the cerebral arteries. It is commonly associated with recurrent severe acute headaches with or without focal neurological deficits due to hemorrhages, infarcts, and even posterior reversible encephalopathy syndrome. The optimal management of acute neurologic deficits caused by RCVS is still uncertain. Calcium channel blockers (CCBs) such as nimodipine or verapamil have been reported to be effective in adult series. Intra-arterial injection of nimodipine, verapamil, and milrinone has recently been demonstrated to be safe and effective for treating severe segmental vasoconstriction in adults. CCBs are the most used treatment in the available pediatric literature. Intra-arterial vasodilators have been reported in some rare pediatric reports with more severe diseases, but their utility is still under investigation. We report a case of a 12-year-old girl who underwent a severe course of RCVS complicated by multiple cerebral infarcts, treated by several sessions of intra-arterial vasodilators infusion.
PID Serval
serval:BIB_AFDEEBEA528D
PMID
Open Access
Oui
Date de création
2023-03-24T10:37:15.876Z
Date de création dans IRIS
2025-05-21T04:52:33Z
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Nom
fped-11-1042509.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
2.72 MB
Format
Adobe PDF
PID Serval
serval:BIB_AFDEEBEA528D.P001
URN
urn:nbn:ch:serval-BIB_AFDEEBEA528D4
Somme de contrôle
(MD5):138f71dc3518bf55b5a0abbfa88c6dc6