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Pearls Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible constriction of intracranial arteries; it may present with immediate or delayed neurologic deficits related to brain edema, ischemic or hemorrhagic stroke, or seizure.
Pearls Although rarely found among patients with acute ischemic stroke, calcified cerebral emboli provide diagnostic information on potential stroke etiologies to guide secondary prevention. In the presence of a calcified cerebral embolus, all potential sources of calcific embolism should be investigated, including the aortic valve, aortic arch, and major neck vessels. Oy-sters Reperfusion therapy can be challenging in patients with acute stroke and calcified cerebral emboli.
Pearls & Oy-sters: Sex, Drugs and Headache; a Journey Through Reversible Cerebral Vasoconstriction Syndrome. For “Pearls & Oysters” in the Resident & Fellows Section of Neurology Maksim Son, David Dongkyung Kim, Ruba Kiwan, Michael Mayich, Alexander V. Khaw Neurology Nov 2020, 10.1212/WNL.0000000000011194; DOI: 10.1212/WNL.0000000000011194
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