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- W4285259487 abstract "症例は57歳女性．特記すべき誘因なく，数時間で改善する激しい両側性頭痛が突発性に出現し，寛解増悪を繰り返したため，近医にて頭部CT, MRIを施行するも特記すべき異常なしと判断され，経過観察された．発症13日目に左頭頂後頭葉に約46 mlの皮質下出血を認めたため，当院へ紹介され，緊急開頭血腫除去術を施行した．術前頭部CTでは血腫周囲に低吸収域を認め，病理検査で血腫に接する脳組織の融解壊死を認めた．術後のMRAでは両側中大脳動脈，後大脳動脈に多発する狭窄所見を認め，後に改善したことより可逆性脳血管攣縮症候群（RCVS）による出血性脳梗塞と診断した．RCVSの多くは予後良好だが，一部には本症例のような予後不良な経過をたどる症例があるため，原因不明の急性発症の重度の頭痛患者に対しては，常にRCVSの可能性を考慮して慎重に対応することが重要である．" @default.
- W4285259487 created "2022-07-14" @default.
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- W4285259487 date "2022-01-01" @default.
- W4285259487 modified "2023-10-01" @default.
- W4285259487 title "A case of reversible cerebral vasoconstriction syndrome with repeated hemorrhagic infarction" @default.
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- W4285259487 doi "https://doi.org/10.3995/jstroke.11005" @default.
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