Moreover it is relevant to make the diagnosis for the clinician, since this lesion is highly prone to induce thrombus formation on its surface, with

the possibility of embolic events. Early CEA is recommended and it is again relevant Rapamycin supplier for the surgeon to suspect this diagnosis since, if the lesion is not completely removed, it can grow back again, with the risk of further embolic events. “
“Since the work of Call and Fleming in 1988 [1] a variety of similar syndromes with reversible cerebral vasoconstriction were published. Today these syndromes are unified in the term reversible cerebral vasoconstriction syndrome [2]. According to literature the reversible cerebral vasoconstriction syndrome is characterized by the following facts. The mean age of onset is 42 years. Women are affected 2–3 times more

often than men [5]. The syndrome is associated with pregnancy and puerperium, drugs such as cocaine, cannabis, LSD, ergotamine or selective serotonin reuptake inhibitors, different types of headache such as migraine, primary thunderclap headache, primary headache associated ALK inhibitor cancer with sexual activity and other conditions such as porphyria, pheochromocytoma, craniocerebral injury [3] and [4]. According to the work of Ducros et al. the main clinical manifestation in 94% of 67 patients were thunderclap headache recurring over a mean period of one week. Other symptoms were nausea, vomiting, confusion and blurred vision. 3% of the patients in Chlormezanone this review showed seizures [5]. Several vascular complications are reported. According to the work of Ducros 22% of the patients developed subarachnoidal hemorrhage, 6% intracerebral hemorrhage, 14% showed transient ischemic symptoms and 4% developed cerebral infarction in the course of disease [5]. Neuroimaging shows diffuse, multiple stenosis and dilatation of the cerebral vessels (string and beads) which resolve spontaneously in 1–3 months. There are no common transcranial color coded ultrasound criteria for diagnosis.

Therefore common criteria for intracerebral stenosis or vasospamus are used. Ultrasound is shown to be safe in diagnosing and in controlling the course of disease [6]. There is no standard treatment. Due to literature mainly the calcium antagonist nimodipine in systemic application or in some case reports in local application is used. The disease is self-limiting and has a low incidence of recurrence. But for prolonged vasoconstriction a higher risk of posterior leukencephalopathy and strokes is reported [6]. We report the case of a 32 year old primipara. The patient was admitted to an academical hospital with maximum medical care. The cause of admission was preeclampsia. For gynecological reasons a Ceasarean section (C-section) was necessary.