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Oukhai F, Domigo V, Benzakoun J, Wolff M, Ducros A, Mas JL, Calvet D. Case report: Meningitis: a cause of reversible cerebral vasoconstriction syndrome? Front Neurol 2023; 14:1143215. [PMID: 37545713 PMCID: PMC10400005 DOI: 10.3389/fneur.2023.1143215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 06/21/2023] [Indexed: 08/08/2023] Open
Abstract
Introduction Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache and reversible cerebral arteries vasoconstriction. The pathophysiology remains unclear, but many triggers were reported. Case reports We reported two cases of patients with meningitis who developed RCVS confirmed by brain imaging. They presented clinical and CSF features of meningitis that are suspected to be infectious, but no agent was identified. Headache and artery irregularities were resolved with the improvement of CSF. Conclusion These cases suggest that in the context of meningitis, modification or atypical headaches should lead to brain imaging to rule out RCVS. We hypothesized that CSF inflammation may trigger cerebral arteries vasoconstriction.
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Affiliation(s)
- Fida Oukhai
- Neurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, France
| | - Valérie Domigo
- Neurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, France
- INSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, France
| | - Joseph Benzakoun
- INSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, France
- Radiology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Paris, France
| | - Michel Wolff
- Neuro Intensive Care Unit, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Paris, France
| | - Anne Ducros
- Neurology Department, Gui de Chauliac Hospital, Centre Hospitalier Universitaire (CHU) de Montpellier, Montpellier, France
| | - Jean-Louis Mas
- Neurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, France
- INSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, France
| | - David Calvet
- Neurology Department, Groupe Hospitalier Universitaire (GHU) Paris Psychiatrie et Neurosciences, Sainte-Anne Hospital, Université de Paris, Federation Hospitalo-Universitaire (FHU) NeuroVasc, Paris, France
- INSERM 1266, Institut de Psychiatrie et Neurosciences de Paris, Paris, France
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Oukhai F, Messelmani M, Ouerdiane A, Mansour M, Zaouali J, Mrissa R. Cerebral venous thrombosis and solid tumors. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Oukhai F, Mesellmani M, Ouerdiene A, Mansour M, Zaouali J, Mrissa R. Adie’s tonic pupil in sjogren's syndrome. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Oukhai F, Benrhouma H, Klaa H, Rouissi A, Kraoua I, Turki I. Sclérose en plaques chez l’enfant : étude descriptive sur une population Tunisienne. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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