Cayenne pepper has been previously linked to the constriction of the coronary artery and heart attacks - and the Carolina Reaper is much spicier. The marriage of thunderclap headaches and RCVS has previously been documented in cases of illegal drugs or bad reactions to prescription meds, but this is the first case where it’s tied to eating chili peppers. “Given the development of symptoms immediately after exposure to a known vasoactive substance, it is plausible that our patient had RCVS secondary to the Carolina Reaper,” the authors write. This revealed that several arteries in his brain had constricted, and the doctors diagnosed him with thunderclap headaches secondary to reversible cerebral vasoconstriction syndrome (RCVS), which is characterized by temporary artery narrowing and often accompanies thunderclap headaches. Tests for neurological conditions came back negative, so the doctors analyzed his brain with a computed tomography scan. Over the next several days, he developed the painful headaches, each lasting a few seconds, and eventually checked himself into emergency care. After gobbling up what the pepper’s cultivator, Ed Currie, describes as “kind of like eating molten lava,” the patient immediately began dry heaving. In this contest, the man consumed the infamous Carolina Reaper - the pepper most likely to make wannabe YouTube stars cry online. CT angiography showing the narrowing of the patient's carotid artery, Kulothungan Gunasekaran, et.
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