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- W1483109651 abstract "OBJECTIVE: We describe a case of reversible cerebral vasoconstriction syndrome (RCVS) with refractory headache aborted by intravenous magnesium. BACKGROUND: RCVS is a vasculopathy presenting with thunderclap headache secondary to cerebral vasospasm. Calcium channel blockers (CCB) are the current treatment of choice with limited evidence of their efficacy in the literature. Some patients have refractory symptoms despite maximum treatment with limited options for alternative therapies. DESIGN/METHODS: Case report. RESULTS: A 53 year-old woman with subarachnoid hemorrhage (SAH) due to RCVS presented with refractory headache despite aggressive treatment with CCB and systemic corticosteroids. Subsequently she experienced remarkable relief of symptoms with intravenous magnesium therapy. She continued oral maintenance therapy and remained symptom-free. CONCLUSIONS: There is some data in peri-partum patients as well as patients with aneurysmal SAH to suggest a benefit of magnesium to treat symptoms associated with cerebral vasoconstriction. The favorable safety profile and significant benefit conferred to our patient suggests that magnesium should be considered among first-line treatments in patients with RCVS. Disclosure: Dr. Mijalski has nothing to disclose. Dr. Silver has nothing to disclose. Dr. Khan has nothing to disclose." @default.
- W1483109651 created "2016-06-24" @default.
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- W1483109651 date "2015-04-06" @default.
- W1483109651 modified "2023-09-23" @default.
- W1483109651 title "Magnesium for the Symptomatic Treatment of Reversible Cerebral Vasoconstriction Syndrome (RCVS): Case Report (P2.283)" @default.
- W1483109651 hasPublicationYear "2015" @default.
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