Isolated Basilar Artery Reversible Cerebral Vasoconstriction Syndrome Associated with Finasteride and Vaping
August 2024
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Studysummary This case study indicates that older patients with NMOSD may show favorable clinical improvements with aggressive treatment, even when the intervention is initiated later in the disease course.
Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
A 30-year-old male experienced thunderclap headaches triggered by free-diving and intense exercise, with a history of vaping and topical finasteride use. Despite normal blood tests and CSF analysis, MRA and DSA revealed vasoconstriction in the basilar artery, which resolved with milrinone and verapamil treatment. The case highlights the importance of considering RCVS in thunderclap headaches and suggests MRA and DSA as more sensitive imaging modalities than CT angiogram for diagnosing RCVS.
