CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2013; 23(03): 198-201
DOI: 10.4103/0971-3026.120258
Neuroradiology

Call-Fleming syndrome

Avni Kalangott Padmanabhan Skandhan
Department of Radiology, MIMS Kotakkal, Malappuram, Kerala, India
,
Kollengode Gopalakrishnan Ramakrishnan
Radiologist and HOD, Malabar Institute of Medical Science, Govindapuram, PO Calicut, Kerala, India
,
Rajeev Anand
Radiologist and HOD, Malabar Institute of Medical Science, Govindapuram, PO Calicut, Kerala, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Call-Fleming syndrome is a part of reversible cerebral vasoconstriction syndrome (RCVS) group and is thought to be of idiopathic origin. It is classically described to be having multisegmental, focal vasospasms in the cerebral arteries. It is characterized clinically by the sudden onset of severe headache, classically described as thunderclap headache, with or without associated neurological deficits. The importance of it lies in that it is a potentially reversible cause of this clinical presentation, unlike its other counterparts, aneurysmal subarachnoid hemorrhage (SAH) or vasculitis.



Publication History

Article published online:
30 July 2021

© 2013. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Calabrese LH, Dodick DW, Schwedt TJ, Singhal AB. Narrative Review: Reversible Cerebral Vasoconstriction Syndromes. Ann Intern Med 2007;146:34-44.
  • 2 Tienviboon C, Punyagupta S, Pongtarakulpanit A, Prichanond S. Reversible cerebral vasoconstriction syndrome with increased intracranial pressure, probably related to altitude changes and windy winter travelling. J Med Assoc Thai 2011;94:622-8.
  • 3 Moustafa RR, Allen CM, Baron JC. Call-Fleming syndrome associated with subarachnoid haemorrhage: Three new cases. J Neurol Neurosurg Psychiatry 2008;79:602-5.
  • 4 Werring DJ. Reversible cerebral vasoconstriction syndrome and intracranial hemorrhage some answers, many questions. Stroke 2010;41:2455-6.
  • 5 Sampaio Rocha Filho PA, Santos Barbosa J, Melo Correa-Lima AR. Reversible cerebral vasoconstriction syndrome. Rev Med Chil 2010;138:1000-3.
  • 6 Kondziolka D, Bernstein M, Spiegel SM, ter Brugge K. Symptomatic arterial luminal narrowing presenting months after subarachnoid hemorrhage and aneurysm clipping. J Neurosurg 1988;69:494-9.
  • 7 Karmacharya R, Singh M, Rawal S. Call fleming syndrome: Case Report. Nepal J Neurosci 2008;5:60-1.
  • 8 Cvetanovich GL, Ramakrishnan P, Klein JP, Rao VR, Ropper AH. Reversible cerebral vasoconstriction syndrome in a patient taking citalopram and Hydroxycut: A case report. J Med Case Rep 2011;5:548.