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Because several entities can include a combination of headache and arteriographic abnormalities, differentiating among these conditions can be challenging. To develop a score to distinguish between reversible cerebral vasoconstriction syndrome (RCVS) and non-RCVS arteriopathies (e.g., moyamoya syndrome), investigators reviewed an institutional database of 110 patients, including 30 patients with RCVS and 80 patients with non-RCVS arteriopathies. The authors queried the database for demographics, cerebospinal fluid (CSF) results, and notable clinical features of RCVS such as a single or recurrent thunderclap headache (TCH) and presence of a vasoconstrictive trigger (e.g., serotonergic medications, postpartum state, sexual orgasm).
Mean age wa…