Evidence map›Paper›PMID 41062317›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Bilateral Cluster Headache-like Attack as a Manifestation of Reversible Cerebral Vasoconstriction Syndrome Following Carotid Artery Stenting.

Shoji Kikui, Junichi Miyahara, Katsuya Takeuchi, Hanako Sugiyama, Kuniko Ota, Kenji Murakata, Daisuke Danno, Yoshihiro Kashiwaya, Takao Takeshima

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

1 citing paper in PubMed.

  1. Article
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

9 authors.

Shoji KikuiDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Junichi MiyaharaDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Katsuya TakeuchiDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Hanako SugiyamaDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Kuniko OtaDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Kenji MurakataDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Daisuke DannoDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Yoshihiro KashiwayaDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.
Takao TakeshimaDepartment of Neurology, Headache Center, Tominaga Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 34-year-old Japanese man developed bilateral periorbital pain and cranial autonomic symptoms that mimicked cluster headache after carotid artery stenting. Imaging revealed hemorrhagic infarction and multifocal vasoconstriction, confirming reversible cerebral vasoconstriction syndrome (RCVS). He had a history of radiotherapy for nasopharyngeal carcinoma, which likely contributed to the delayed vascular injury, including carotid stenosis and vertebral artery dissection. Combined with procedural stress from stenting, these factors may have triggered the RCVS. This case highlights the importance of considering RCVS in patients presenting with atypical headaches after endovascular intervention, particularly in those with prior radiation exposure. Repeat neuroimaging is crucial for a timely diagnosis.

Indexed as

Carotid StenosisCluster HeadacheStentsVasoconstrictionVasospasm, IntracranialAdultHumansMaleNasopharyngeal NeoplasmsSyndromebilateral cluster headache-like attackscarotid artery stentingcranial autonomic symptomsendovascular triggerradiotherapyreversible cerebral vasoconstriction syndrome

Identifiers

PMID41062317
PMCPMC13222709

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.