21 September 2024
: Case report 
A Rare Case of Idiopathic Reversible Cerebral Vasoconstriction Syndrome
Challenging differential diagnosis, Management of emergency care, Rare disease
Vivien Sehapovic1ABCDEFG, Shehzad Muhamed2ABCDEF, Hardeep Singh1ABCDEFG*, Louise Jones
1ABCDFG
DOI: 10.12659/AJCR.944273
Am J Case Rep 2024; 25:e944273
Table 4. Treatment plan.
| Main clinical indication | Drug class | During admission | Medications at discharge |
|---|---|---|---|
| For vasodilation; add-on anti-hypertensive | Calcium-channel blocker | Verapamil 80 mg p.o. every 8 h (see note) | Verapamil 40 mg every 8 h |
| Seizure preventative | Anti-convulsant | Topiramate 25 mg p.o. twice daily | Topiramate 25 mg every 12 h (and tapered off) |
| Seizure preventative | Anti-convulsant | Levetiracetam 1000 mg twice daily | Levetiracetam 1000 mg twice daily |
| Anti-hypertensive | ACE inhibitor | Lisinopril 10 mg daily | |
| Insomnia | Exogenous hormone | Melatonin 3 mg to take twice nightly | |
| Seizure preventative | Anti-convulsant | Pregabalin 25 mg twice daily |