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• Vol.57 No.8
• CLINICA NEUROL, 57: 451−453, 2017
• Vol.57 No.8 contents

Brief Clinical Note

A case of cerebral reversible vasoconstriction syndrome triggered by repetition transcranial magnetic stimulation

Mamiko Sato, M.D.¹⁾, Koji Yamate, M.D.¹⁾, Hiromi Hayashi, M.D.¹⁾, Toyoaki Miura, M.D.¹⁾ and Yasutaka Kobayashi, M.D.¹⁾

¹⁾Depertment of Rehabilitation, Fukui General Hospital

A 75-year-old man was admitted for combined low-frequency repetitive transcranial magnetic stimulation (rTMS) and intensive occupational therapy. Five days after the initiation of rTMS, he developed hypotension and temporary exacerbation of the right hemiplegia with thunderclap headache. MRA showed segmental stenosis of the left middle cerebral artery, which findings were improved at 9 days after the onset of the headache. He was diagnosed as having the reversible cerebral vasoconstriction syndrome (RCVS). The rTMS was recognized as safe rehabilitation treatment. However, it is necessary to recognize that RCVS can become one of the precipitants. This is the first report of RCVS triggered by rTMS.
Full Text of this Article in Japanese PDF (402K)

(CLINICA NEUROL, 57: 451−453, 2017)
key words: repetitive transcranial magnetic stimulation (rTMS), reversible cerebral vasoconstriction syndrome (RCVS), thunderclap headache, vasovagal reflex

(Received: 21-Apr-16)