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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

There is no evidence based treatment for RCVS. Early recognition of the syndrome is important to manage symptoms.

  • remove any precipitating or aggravating factors
    • patients should be advised to rest (some patients need bed rest in hospital for two weeks) and to avoid sexual activity, physical exertion, Valsalva manoeuvres, and other triggers for a few days to a few weeks (depending on the initial severity)
    • vasoactive drugs should be discontinued (avoided even after disease resolves)

  • drug treatment to relieve vasospasm
    • nimodipine, verapamil and magnesium sulphate have been used (1,2)

Reference:

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