Title |
Reversible Cerebral Vasoconstriction Syndrome, Part 2: Diagnostic Work-Up, Imaging Evaluation, and Differential Diagnosis
|
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Published in |
American Journal of Neuroradiology, January 2015
|
DOI | 10.3174/ajnr.a4215 |
Pubmed ID | |
Authors |
T.R. Miller, R. Shivashankar, M. Mossa-Basha, D. Gandhi |
Abstract |
The diagnostic evaluation of a patient with reversible cerebral vasoconstriction syndrome integrates clinical, laboratory, and radiologic findings. Imaging plays an important role by confirming the presence of cerebral vasoconstriction; monitoring potential complications such as ischemic stroke; and suggesting alternative diagnoses, including CNS vasculitis and aneurysmal subarachnoid hemorrhage. Noninvasive vascular imaging, including transcranial Doppler sonography and MR angiography, has played an increasingly important role in this regard, though conventional angiography remains the criterion standard for the evaluation of cerebral artery vasoconstriction. Newer imaging techniques, including high-resolution vessel wall imaging, may help in the future to better discriminate reversible cerebral vasoconstriction syndrome from primary angiitis of the CNS, an important clinical distinction. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 21% |
Spain | 2 | 14% |
Japan | 2 | 14% |
India | 1 | 7% |
Unknown | 6 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 71% |
Practitioners (doctors, other healthcare professionals) | 2 | 14% |
Scientists | 1 | 7% |
Science communicators (journalists, bloggers, editors) | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 1 | <1% |
New Zealand | 1 | <1% |
China | 1 | <1% |
Canada | 1 | <1% |
Unknown | 192 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 36 | 18% |
Student > Postgraduate | 32 | 16% |
Researcher | 30 | 15% |
Student > Bachelor | 13 | 7% |
Student > Ph. D. Student | 11 | 6% |
Other | 40 | 20% |
Unknown | 34 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 128 | 65% |
Neuroscience | 17 | 9% |
Agricultural and Biological Sciences | 4 | 2% |
Arts and Humanities | 2 | 1% |
Engineering | 2 | 1% |
Other | 3 | 2% |
Unknown | 40 | 20% |