{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:11Z","timestamp":1756425731406,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,3,24]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>We present a case of a woman in her 60s with acute left hemispheric ischaemic stroke syndrome due to tandem occlusions of the proximal left internal carotid artery and left middle cerebral artery. This was treated with emergent carotid artery stenting and endovascular clot retrieval. The patient made a complete recovery and was discharged home only to represent a few days later with focal neurological symptoms, profound headache and labile blood pressure. The diagnostic and management challenges of reversible cerebral vasoconstriction syndrome, including imaging assessment and the importance of avoiding \u2018diagnostic anchoring\u2019 are discussed.<\/jats:p>","DOI":"10.1136\/bcr-2022-252540","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:47:21Z","timestamp":1684147641000},"page":"e252540","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Diagnostic anchoring\u2019 and a delayed diagnosis of reversible cerebral vasoconstriction syndrome"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0171-6655","authenticated-orcid":false,"given":"Shiwei","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Interventional Radiology, Liverpool Hospital, Liverpool, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Liverpool Hospital, Liverpool, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Neurology, Liverpool Hospital, Liverpool, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najwa","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Neurology, Liverpool Hospital, Liverpool, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Wenderoth","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Liverpool Hospital, Liverpool, New South Wales, Australia"},{"name":"Institute of Neurological Sciences, Prince of Wales Hospital, Randwick, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Parsons","sequence":"additional","affiliation":[{"name":"Department of Neurology, Liverpool Hospital, Liverpool, New South Wales, Australia"},{"name":"South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,15]]},"reference":[{"key":"2025082722244142000_16.5.e252540.1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awm256"},{"key":"2025082722244142000_16.5.e252540.2","doi-asserted-by":"publisher","DOI":"10.1001\/archneurol.2011.68"},{"key":"2025082722244142000_16.5.e252540.3","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.jaclp.2021.07.013","article-title":"Reversible cerebral vasoconstriction syndrome associated with fluoxetine","volume":"62","author":"Manning","year":"2021","journal-title":"J Acad Consult Liaison Psychiatry"},{"key":"2025082722244142000_16.5.e252540.4","doi-asserted-by":"publisher","DOI":"10.1126\/science.185.4157.1124"},{"key":"2025082722244142000_16.5.e252540.5","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A6385"},{"key":"2025082722244142000_16.5.e252540.6","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1212\/WNL.0000000000000677","article-title":"Reversible cerebral vasoconstriction syndrome following carotid stenting","volume":"83","author":"Aghaebrahim","year":"2014","journal-title":"Neurology"},{"key":"2025082722244142000_16.5.e252540.7","doi-asserted-by":"publisher","DOI":"10.1177\/1591019918781778"},{"key":"2025082722244142000_16.5.e252540.8","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e3182587839"},{"key":"2025082722244142000_16.5.e252540.9","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182a2cbe2"},{"key":"2025082722244142000_16.5.e252540.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-007-0252-y"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-252540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:24:48Z","timestamp":1756358688000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-252540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5,15]]},"published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1136\/bcr-2022-252540"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-252540","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}