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Worsening of Previous Vasospasm after Sertraline Ingestion: A Reversible Cerebral Vasoconstriction Syndrome Spectrum?

Submission:December 7, 2021; Published: December 22, 2021

DOI: 10.31031/AICS.2021.03.000560

ISSN 2639-0531
Volume3 Issue2


Reversible cerebral vasoconstriction syndrome is an important vascular disease. It is characterized by diffuse segmental constriction of cerebral arteries. It has different etiologies, including medications. We present a case report of a young, previously asymptomatic patient; with a mild vasospasm secondary to a resection of a sphenoid frontotemporal meningioma that had a stroke-like episode following sertraline ingestion due to the potential worsening of a previous vasospasm. Correlating it with a possible spectrum of reversible cerebral vasoconstriction syndrome, it was successfully treated with intra-arterial and intravenous Milrinone and oral Verapamil.

Keywords: Reversible cerebral vasoconstriction syndrome; selective serotonin reuptake inhibitors; Tumor resection

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