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FIGURE 212-1

FIGURE 212-2

FINDINGS The initial NCCT was normal. Figure 212-1. Sagittal CTA MIP. There are multiple segmental vascular irregularities involving multiple territories (arrows). Figure 212-2. Axial MIP through the centrum semiovale. There is extensive vascular irregularity—significant bifrontal arterial attenuation and beading (transverse arrows) with some dilated vessels posteriorly (vertical arrows).

DIFFERENTIAL DIAGNOSIS Vasculitis, vasculopathy, vasospasm.

DIAGNOSIS Reversible cerebral vasoconstriction syndrome (RCVS).

DISCUSSION

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