RCVS2 Score (Reversible Cerebral Vasoconstriction)

Scores RCVS2 (-2 to 10) to tell reversible cerebral vasoconstriction syndrome from other intracranial arteriopathies.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Recurrent or single thunderclap headache
Yes
Intracranial carotid artery involved
No
Vasoconstrictive trigger
Yes
Sex
Female
Subarachnoid hemorrhage
No

Result: RCVS2 9: favors reversible cerebral vasoconstriction syndrome (5 or more: 99% specificity, 90% sensitivity in the derivation cohort).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Recurrent or single thunderclap headache
  • Intracranial carotid artery involved
  • Vasoconstrictive trigger
  • Sex
  • Subarachnoid hemorrhage
How this is calculated

Citation

Rocha EA, Topcuoglu MA, Silva GS, Singhal AB. RCVS2 score and diagnostic approach for reversible cerebral vasoconstriction syndrome. Neurology. 2019;92(7):e639-e647. Points as tabulated in de Sousa IA et al. Headache. 2026;66(5):1162. Read the sources: Rocha 2019 ↗, de Sousa 2026 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.