Call-Fleming syndrome associated with convexity subarachnoid hemorrhage

Abstract

Call-Fleming syndrome (CFS) is characterized by “thunderlap” headaches, reversible focal neurologic deficits and diffuse eversible cerebral segmental vasoconstriction [3] with or without onvexity subarachnoid hemorrhage. Reversible cerebral vasoonstriction syndrome (RCVS) could be easily misdiagnosed as ubarachnoid hemorrhage because of the non-specificity of the linical presentation [2–7]. The benign nature of CFS makes it mportant to be recognized early to avoid exposing patients to invaive investigations and therapies. CFS associated with convexity ubarachnoid hemorrhage is an extremely rare entity, and up until ow, only few cases have been published [2,5,9]. Recent large retropective and prospective studies of RCVS confirmed the possibility f this association (RCVS and convexity SAH). In this report, we describe the case of a male patient with eversible segmental vasospasm associated with SAH and we highight the clinical, radiological and laboratory features that should e considered in this diagnosis.