Reversible Cerebral Vasoconstriction Syndrome Mimicking Eclampsia.

Chalothorn Wannaphut, Yoshito Nishimura, Weiming Du, Chutawat Kookanok, Travis Watai, Christina Chong

Abstract readCase Reports

In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chalothorn WannaphutInternal Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, USA.

Yoshito NishimuraInternal Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, USA.

Weiming DuInternal Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, USA.

Chutawat KookanokInternal Medicine, Phramongkutklao College of Medicine, Mahidol University, Bangkok, THA.

Travis WataiInternal Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, USA.

Christina ChongInternal Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report describes the case of an 18-year-old Micronesian pregnant woman at 32 weeks gestation, initially presumed to have eclampsia but later diagnosed with reversible cerebral vasoconstriction syndrome (RCVS). She presented with seizures, altered mental status, nystagmus, lower extremity weakness, and absent reflexes. An extensive workup ruled out infectious and autoimmune causes, but a computed tomography angiogram (CTA) revealed severe cerebral vasoconstriction. Treatment included levetiracetam, intravenous magnesium, and nimodipine. The case highlights the challenge of differentiating RCVS from eclampsia in the postpartum period, emphasizing the importance of considering alternative diagnoses and brain CTA when RCVS is suspected, with calcium channel blockers potentially contributing to favorable neurological outcomes.

Indexed as

call fleming syndromeeclampsiapostpartumrcvsreversible cerebral vasoconstriction syndrome

Identifiers

PMID38681466

DOI10.7759/cureus.57021

PMCPMC11046369

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LicenceCC BY

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.