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Idiopathic reversible segmental cerebral vasoconstriction
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A 65 year old woman presented with recurrent, unprovoked thunderclap headaches over the previous five days. She was discharged after a normal CT brain scan and cerebrospinal fluid analysis (no xanthochromia). She represented five days later following abrupt onset of left arm and leg weakness, having had transient right leg weakness three days earlier. No weakness was found on admission, but she developed a left hemiplegia the same evening. Magnetic resonance (MR) imaging showed multifocal …
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