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This study will be the first to evaluate the role played by potential precipitating factors and risk factors in Reversible Cerebral Vasoconstriction Syndrome (RCVS) through of prospective selection of carefully characterised patients and controls. The impact of these factors on the prognosis will be evaluated through a follow-up assessment of patients.
Our study will include the formation of a clinicoradiological database and a biobank (plasma, cerebro-spinal fluid, DNA) which will be the tools of a future large multicentre study on RCVS.
Introduction : Reversible Cerebral Vasoconstriction Syndrome (RCVS) combines headaches and segmental constriction of cerebral arteries that resolves within 3 months.
It is the most recurrent reason of cerebral arteriopathy in people under 70 and of thunderclap headache in absence of aneurysmal subarachnoid haemorrhage.
Objectives :
Principal: identify RCVS's precipitating factors
Secondary:
Methodology :
Monocentric analytic observational 'Case - Control' study with prospective inclusion of cases in a follow-up cohort.
This type of study is nevertheless considered interventional because we are collecting additional blood and CSF samples to constitute a biobank.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient | Other | Patient presenting a Reversible Cerebral Vasoconstriction Syndrome (RCVS) :
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| Volunteers | Other | Volunteers admitted for a non neurological or non vascular pathology or healthy volunteers accompanying a patient :
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Constitution of a biobank | Other | We are collecting additional blood and CSF samples for patients (during RCVS episode and after resolution of RCVS episode) and for control subjects to constitute a biobank, in order to compare different biologic parameters between RCVS patients and healthy volunteers. A specific agreement will be asked to patients and control subjects before collection of samples. This is why this study is classified as 'interventional' rather than 'observational'. |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of, at least, one assumed trigger or risk factors | The relationship between the assumed precipitating factors and RCVS will be evaluated by comparing the frequencies of exposure of suspected precipitating factors between cases and controls, and given by calculating an odds ratio. The assumed trigger or risk factors are : a physical and / or emotional stress within 30 days before the clinical beginning; presence of chronic neurological or psychiatric disease (migraine, primary thunderclap headache or circumstancial headache, anxiety or depression); vascular risk factors; and hormonal status in women. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison between precipitating factors and clinico-radiological manifestations of RCVS | Evaluation of Clinical manifestations (headache, seizures, focal neurological deficit) according to the presence of precipitating factors | 3 months |
| Comparison between precipitating factors and clinico-radiological manifestations of RCVS |
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Inclusion criteria:
For the Patients
For volunteers
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lucas CORTI | Contact | 06.76.31.63.12 | l-corti@chu-montpellier.fr | |
| Anne DUCROS, PU-PH | Contact | a-ducros@chu-montpellier.fr |
| Name | Affiliation | Role |
|---|---|---|
| Lucas CORTI | CHU de Montpellier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gui de Chauliac Hospital | Recruiting | Montpellier | 34295 | France |
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| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| ID | Term |
|---|---|
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
Evaluation of Brain lesion (stroke, posterior reversible encephalopathy syndrome) according to the presence of precipitating factors |
| 3 months |
| Comparison between precipitating factors and clinico-radiological manifestations of RCVS | Evaluation of Severity of cerebral arteries' vasoconstriction, according to the presence of precipitating factor | 3 months |
| Comparison between precipitating factors and clinico-radiological manifestations of RCVS | Evaluation of Lesion of intracranial and / or cervical arteries, according to the presence of precipitating factors | 3 months |
| Comparison between precipitating factors and clinico-radiological manifestations of RCVS | Evaluation of Modified Rankin Score, evaluated 3 month after clinical beginning, according to the presence of precipitating factors. | 3 months |