Precipitants of reversible cerebral vasoconstriction syndrome
precipitants of reversible cerebral vasoconstriction syndrome
- post partum period
- vasoactive drugs
- illicit drugs eg, cannabis, cocaine
- antidepressants eg, selective serotonin reuptake inhibitors, serotonin-noradrenaline reuptake inhibitors
- sympathomimetics eg, nasal decongestants (phenylpropanolamine, pseudoephedrine, ephedrine), norepinephrine
- binge drinking
- catecholamine-secreting tumours e.g. Phaeochromocytoma, bronchial carcinoid tumour
- immunosuppressants or blood products e.g. - intravenous immunoglobulin, red-blood-cell transfusion,interferon alfa
- Miscellaneous e.g. - hypercalcaemia, porphyria, head trauma, neurosurgery, subdural spinal haematoma, carotid endarterectomy, cerebral venous thrombosis, CSF hypotension
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