Fatal reversible cerebral vasoconstriction syndrome: A systematic review of case series and case reports

Vista sencilla de ítem
dc.contributor.authorRamírez-Rodríguez, N.
dc.contributor.authorVargas-Avila, N.
dc.contributor.authorPeña-Ortiz, A.
dc.contributor.authorCorzo-Villamizar, M.
dc.contributor.authorSerna-Ramírez, L.
dc.contributor.authorGóez-Mogollón, L.
dc.contributor.authorMartínez-Rubio, C.
dc.contributor.authorBayona-Ortiz, HF.
dc.contributor.authorValencia Mendoza, María Camila
dc.date.accessioned2020-03-25T15:00:20Z
dc.date.available2020-03-25T15:00:20Z
dc.date.issued2019
dc.description.abstractenglishOBJECTIVE: To describe patient characteristics, radiological findings and the clinical course of adults with fatal reversible cerebral vasoconstriction syndrome (RCVS). METHODS: A systematic literature search from January 1, 2000, until December 31, 2018, was performed using PubMed, EMBASE, Scopus, Cochrane reviews, LILACS and Scielo. Studies reporting RCVS in adult patients with fatal outcomes were included. RESULTS: 430 studies were initially identified, 179 full-text articles were reviewed, and 9 publications describing 12 subjects were included. The vast majority of the reports were from the U.S. Most of the female cases occurred during postpartum. All patients had a headache on initial presentation, although only 42% had thunderclap headache. A CT scan was performed on 67% of the patients. Imaging results were diverse, with a tendency toward cerebral hemorrhage followed by mixed cases. The main course of treatment included steroids (58% of the patients), with only 42% receiving nimodipine. The time to death ranged from 4 to 14 days, with a median of 9.2 days (SD ± 3.2). CONCLUSION: We found that the majority of fatal cases reported in the literature are most likely related to postpartum angiopathy. We established a tendency in the onset of brain hemorrhage and the combination of infarction and brain hemorrhage. We described various markers for poor prognosis, including focal signs, the presence of hemorrhage and infarct in the first diagnostic image obtained and the need for invasive interventions. The majority of fatal cases in our report occurred in women, with over half of those cases during the puerperium period.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.jocn.2019.08.014
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn0967-5868
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2114
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalJournal of Clinical Neurosciencespa
dc.relation.ispartofseriesJournal of Clinical Neuroscience, 0967-5868, Vol 70, 2019, pag 183-188spa
dc.relation.urihttps://www.jocn-journal.com/article/S0967-5868(19)30986-5/fulltext
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf274
dc.rights.creativecommons2019
dc.rights.localAcceso cerradospa
dc.subject.decsVasoespasmo intracranealspa
dc.subject.decsHemorragias intracranealesspa
dc.subject.decsVasoconstricciónspa
dc.subject.keywordsVasospasmspa
dc.subject.keywordsSubarachnoid hemorrhagespa
dc.subject.keywordsPostpartum angiopathyspa
dc.subject.keywordsReversible vasoconstriction syndromespa
dc.subject.keywordsOutcome mortalityspa
dc.titleFatal reversible cerebral vasoconstriction syndrome: A systematic review of case series and case reportsspa
dc.title.translatedFatal reversible cerebral vasoconstriction syndrome: A systematic review of case series and case reports
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

Archivos

Bloque original
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
Valencia_Mendoza_Maria_Camila_2019.pdf
Tamaño:
804.49 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Artículos