CMAJ September 14, 2004; 171 (6). doi:10.1503/cmaj.1040631.
© 2004 Canadian Medical Association or its licensors
All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.
Thunderclap headache and reversible segmental cerebral vasoconstriction associated with use of oxymetazoline nasal spray
Andrea H.S. Loewen,
Mark E. Hudon and
Michael D. Hill
From the Departments of Medicine (Loewen, Hill), Radiology (Hudon), Clinical Neurosciences (Hudon, Hill) and Community Health Sciences (Hill), Faculty of Medicine, University of Calgary, Calgary, Alta.

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Fig. 1: A: CT angiogram at admission showing axial reformatted images with severe narrowing of the M2 branches of the right middle cerebral artery. B: CT angiogram at admission showing midline sagittal multiplanar reformatted image; done to assess dural sinuses, the image shows multifocal narrowings of the anterior cerebral arteries. C: Right anterior oblique view from a selective cerebral angiogram of the right internal carotid artery showing focal narrowing and dilatation of anterior cerebral artery. D: Follow-up left anterior oblique view from the left carotid artery showing near complete resolution of arteriopathic changes.
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