{"id":"https://openalex.org/W2804193246","doi":"https://doi.org/10.1136/jnnp-2018-anzan.92","title":"093 Clinical and imaging discordance in reversible cerebral vasoconstriction syndrome","display_name":"093 Clinical and imaging discordance in reversible cerebral vasoconstriction syndrome","publication_year":2018,"publication_date":"2018-05-24","ids":{"openalex":"https://openalex.org/W2804193246","doi":"https://doi.org/10.1136/jnnp-2018-anzan.92","mag":"2804193246"},"language":"en","primary_location":{"id":"doi:10.1136/jnnp-2018-anzan.92","doi":"https://doi.org/10.1136/jnnp-2018-anzan.92","is_oa":false,"landing_page_url":"https://doi.org/10.1136/jnnp-2018-anzan.92","pdf_url":null,"source":{"id":"https://openalex.org/S134773490","display_name":"Journal of Neurology Neurosurgery & Psychiatry","issn_l":"0022-3050","issn":["0022-3050","1468-330X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurology, Neurosurgery &amp; Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Michael J Devlin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801814493","display_name":"Princess Alexandra Hospital","ror":"https://ror.org/04mqb0968","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801244131","https://openalex.org/I2801814493","https://openalex.org/I4210089726"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Michael J Devlin","raw_affiliation_strings":["Department of Neurology, Princess Alexandra Hospital, Brisbane, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Princess Alexandra Hospital, Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I2801814493"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089165431","display_name":"Archana Dwivedee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800639112","display_name":"Townsville Hospital","ror":"https://ror.org/021zqhw10","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2800639112","https://openalex.org/I2801244131"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Archana Dwivedee","raw_affiliation_strings":["Department of Radiology, The Townsville Hospital, Douglas, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, The Townsville Hospital, Douglas, QLD, Australia","institution_ids":["https://openalex.org/I2800639112"]}]},{"author_position":"last","author":{"id":null,"display_name":"Richard P White","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800639112","display_name":"Townsville Hospital","ror":"https://ror.org/021zqhw10","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2800639112","https://openalex.org/I2801244131"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Richard P White","raw_affiliation_strings":["Department of Neurology, The Townsville Hospital, Douglas, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, The Townsville Hospital, Douglas, QLD, Australia","institution_ids":["https://openalex.org/I2800639112"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.1641,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.4787907,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"89","issue":"6","first_page":"A37.2","last_page":"A37"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12464","display_name":"Neurological Complications and Syndromes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12464","display_name":"Neurological Complications and Syndromes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11929","display_name":"Cerebral Venous Sinus Thrombosis","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/reversible-cerebral-vasoconstriction-syndrome","display_name":"reversible cerebral vasoconstriction syndrome","score":1.0},{"id":"https://openalex.org/keywords/thunderclap-headache","display_name":"thunderclap headache","score":0.9710000157356262},{"id":"https://openalex.org/keywords/subarachnoid-hemorrhage","display_name":"subarachnoid hemorrhage","score":0.9660000205039978},{"id":"https://openalex.org/keywords/posterior-reversible-encephalopathy-syndrome","display_name":"posterior reversible encephalopathy syndrome","score":0.9559999704360962},{"id":"https://openalex.org/keywords/desvenlafaxine","display_name":"desvenlafaxine","score":0.878000020980835},{"id":"https://openalex.org/keywords/cerebral-angiography","display_name":"cerebral angiography","score":0.42899999022483826},{"id":"https://openalex.org/keywords/restricted-diffusion","display_name":"restricted diffusion","score":0.7570000290870667},{"id":"https://openalex.org/keywords/pleocytosis","display_name":"pleocytosis","score":0.8429999947547913},{"id":"https://openalex.org/keywords/nimodipine","display_name":"nimodipine","score":0.7559999823570251},{"id":"https://openalex.org/keywords/acetazolamide","display_name":"acetazolamide","score":0.7129999995231628},{"id":"https://openalex.org/keywords/intracranial-pressure","display_name":"intracranial pressure","score":0.5899999737739563}],"concepts":[{"id":"https://openalex.org/C2778686844","wikidata":"https://www.wikidata.org/wiki/Q7318292","display_name":"Reversible cerebral vasoconstriction syndrome","level":3,"score":0.9333407282829285},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8537200689315796},{"id":"https://openalex.org/C2777605182","wikidata":"https://www.wikidata.org/wiki/Q7234232","display_name":"Posterior reversible encephalopathy syndrome","level":3,"score":0.6496890783309937},{"id":"https://openalex.org/C2780966972","wikidata":"https://www.wikidata.org/wiki/Q86","display_name":"Headaches","level":2,"score":0.6309760808944702},{"id":"https://openalex.org/C2777736543","wikidata":"https://www.wikidata.org/wiki/Q693442","display_name":"Subarachnoid hemorrhage","level":2,"score":0.5876138210296631},{"id":"https://openalex.org/C2777294900","wikidata":"https://www.wikidata.org/wiki/Q421429","display_name":"Nimodipine","level":3,"score":0.5607185363769531},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4908636212348938},{"id":"https://openalex.org/C2780066322","wikidata":"https://www.wikidata.org/wiki/Q719444","display_name":"Lumbar puncture","level":3,"score":0.4887709319591522},{"id":"https://openalex.org/C146638467","wikidata":"https://www.wikidata.org/wiki/Q10529587","display_name":"Hyperintensity","level":3,"score":0.4453260004520416},{"id":"https://openalex.org/C2778286760","wikidata":"https://www.wikidata.org/wiki/Q1224954","display_name":"Digital subtraction angiography","level":3,"score":0.43779534101486206},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.35328155755996704},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.351595401763916},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.31173330545425415},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3060494661331177},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.27163493633270264},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.17668673396110535},{"id":"https://openalex.org/C2779651940","wikidata":"https://www.wikidata.org/wiki/Q54196","display_name":"Cerebrospinal fluid","level":2,"score":0.1743147075176239},{"id":"https://openalex.org/C519063684","wikidata":"https://www.wikidata.org/wiki/Q706","display_name":"Calcium","level":2,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1136/jnnp-2018-anzan.92","doi":"https://doi.org/10.1136/jnnp-2018-anzan.92","is_oa":false,"landing_page_url":"https://doi.org/10.1136/jnnp-2018-anzan.92","pdf_url":null,"source":{"id":"https://openalex.org/S134773490","display_name":"Journal of Neurology Neurosurgery & Psychiatry","issn_l":"0022-3050","issn":["0022-3050","1468-330X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurology, Neurosurgery &amp; Psychiatry","raw_type":"journal-article"},{"id":"pmh:oai:open-archive.highwire.org:jnnp:89/6/A37-b","doi":null,"is_oa":false,"landing_page_url":"http://jnnp.bmj.com/cgi/content/short/89/6/A37-b","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W1544074585"],"related_works":["https://openalex.org/W2049284603","https://openalex.org/W2564637545","https://openalex.org/W3206436077","https://openalex.org/W2998081041","https://openalex.org/W2121595827","https://openalex.org/W4322494415","https://openalex.org/W1969669358","https://openalex.org/W1984681981","https://openalex.org/W2738661943","https://openalex.org/W4206799349"],"abstract_inverted_index":{"Introduction":[0],"Reversible":[1],"cerebral":[2,23,86,96,112,193],"vasoconstriction":[3,244],"syndrome":[4],"(RCVS)":[5],"is":[6,258,269],"to":[7,50,102,260,291],"be":[8,250,274,292],"suspected":[9],"in":[10,68,105,169],"cases":[11],"of":[12,94,126,135,188,219,229,243,263,285,296],"thunderclap":[13,55],"headache":[14,230],"particularly":[15],"when":[16,265],"associated":[17],"with":[18,53,59,73,79,90,128,199],"convex":[19],"subarachnoid":[20,88],"haemorrhage":[21,89],"without":[22,233],"aneurysm.":[24],"Angiographic":[25],"changes":[26,242],"and":[27,76,81,108,132,153,172,179,186,191,214,231,245],"clinical":[28,254,267],"state":[29,110],"do":[30],"not":[31],"always":[32],"correlate.":[33],"We":[34],"present":[35],"a":[36,106,215],"case":[37,238],"report":[38],"from":[39,252],"the":[40,95,145,240,253,266,293],"Townsville":[41],"Hospital.":[42],"Case":[43],"A":[44,119,161],"49":[45],"year":[46],"old":[47],"female":[48],"presented":[49],"another":[51],"hospital":[52],"recurrent":[54],"headaches":[56,154],"first":[57],"commencing":[58],"exercise.":[60],"The":[61,98,195,222,283],"medical":[62],"history":[63],"included":[64],"idiopathic":[65],"intracranial":[66,212],"hypertension":[67],"remission,":[69],"chronic":[70,294],"migraine":[71],"treated":[72,78],"botulinum":[74],"toxin,":[75],"depression":[77],"amitriptyline":[80],"desvenlafaxine.":[82,297],"MR":[83,92,163,180],"imaging":[84,257],"revealed":[85,122,165,182],"vertex":[87],"normal":[91,129],"angiogram":[93],"vessels.":[97],"patient":[99,146,196,223],"was":[100,117,149,197,206,224,289],"transferred":[101],"our":[103,286],"institution":[104],"confused":[107],"restless":[109],"for":[111,210],"digital":[113],"subtraction":[114],"angiogram,":[115],"which":[116],"normal.":[118],"lumbar":[120],"puncture":[121],"elevated":[123,279],"white":[124],"cells":[125],"17\u00d7106/L":[127],"CSF":[130,271],"protein":[131,280],"opening":[133],"pressure":[134,213],"39":[136],"cm":[137],"H2O.":[138],"Nimodipine":[139],"that":[140,246],"had":[141],"been":[142],"commenced":[143,209],"before":[144],"became":[147],"encephalopathic":[148],"ceased.":[150],"Her":[151],"confusion":[152,232],"resolved":[155],"but":[156],"relapsed":[157],"after":[158,227],"three":[159],"days.":[160],"repeat":[162],"brain":[164],"multiple":[166],"T2":[167],"hyperintensities":[168],"bilateral":[170,189],"anterior":[171,192],"posterior":[173],"circulation":[174],"territories":[175],"demonstrating":[176],"diffusion":[177],"restriction,":[178],"angiography":[181],"new":[183],"segmental":[184],"strictures":[185],"beading":[187],"middle":[190],"arteries.":[194],"diagnosed":[198],"overlap":[200],"RCVS/posterior":[201],"reversible":[202],"encephalopathy":[203],"syndrome;":[204],"desvenlafaxine":[205],"ceased,":[207],"acetazolamide":[208],"raised":[211],"several":[216],"week":[217],"course":[218],"nimodipine":[220],"recommenced.":[221],"discharged":[225],"home":[226],"resolution":[228],"neurological":[234],"deficit.":[235],"Conclusion":[236],"This":[237],"highlights":[239],"dynamic":[241],"angiographic":[247],"findings":[248],"can":[249,273],"discordant":[251],"status.":[255],"Serial":[256],"required":[259],"detect":[261],"abnormalities":[262],"RCVS":[264,288],"suspicion":[268],"high.":[270],"analysis":[272],"normal,":[275],"however":[276],"may":[277],"reveal":[278],"or":[281],"pleocytosis.":[282],"cause":[284],"patient\u2019s":[287],"thought":[290],"use":[295]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2018,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2018-06-01T00:00:00"}
