M. Alpaidze, N. Kurashvili
DEKA Medical Centre University Clinic – Tbilisi, Georgia
Objective: RCVS is a cerebrovascular disorder associated with multifocal arterial constriction. The primary clinical manifestation is recurrent sudden-onset and severe headache. Diagnosis requires cerebral angiography confirmation and ultrasound monitoring. Our aim is to determine the difference of ultrasound data and clinical manifestation between RCVS and different forms of headache.
Material and Methods: 84 patients (age range 20-60 y., 55-female, 29-male) underwent sonography examination using TCD and TCCD methods. Group I-18 patients had RCVS typical acute-onset severe headaches, namely thunderclap headaches reaching peak intensity within 1 min. Group II-19 patients- migraine in anamnesis, with 1-2 attacks monthly (ultrasound examinations were performed in attack free period), Group III- 37 patients with severe headache for 1-3 hours, the period 1-3 months. This group was divided into subgroups: III-a) 17 patients -after attack felt confusion, anxiety and problems with concentration. III-b)-20 patients- during attack felt dizziness, nausea, vomiting, blurred vision, after attack-depression and cognitive dysfunctions. Group IV-10 controls.