This condition is known as reversible cerebral vasoconstriction syndrome (RCVS), and was most likely causing the thunderclap headaches. This particular pepper is considered the hottest chili pepper in the world, according to the report, published today (April 9) in the journal BMJ Case Reports.
The man immediately began dry heaving after sampling the chilli, the authors at Bassett Medical Center said in the paper.
The man then developed intense neck and head pain, and for several days experienced brief but intense "thunderclap" headaches.
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But a CT angiogram of the brain's blood vessels did reveal something unusual: a substantial narrowing of the left internal carotid artery and four other blood vessels supplying the brain.
It showed several arteries in the man's brain had narrowed, making it harder for blood to flow through.
"We would not advise against eating Carolina Reaper at this time, but we would recommend the general public be cautious about these adverse effects and we advise that they should seek medical attention immediately if they develop sudden onset headache after eating hot peppers".
The Carolina Reaper is a popular pepper, and many people eat them and experience nothing worse than the desire to cut out their own tongues.
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Mr Gunasekaran said the condition has previously been seen as a reaction to certain medications or to illicit drugs such as cocaine and ecstasy. Within a few weeks, all was well again, and the doctors pointed to the pepper as a culprit for the first time.
Eating this fiery pepper can cause a "thunderclap" headache, doctors reported Monday. And, now, Carolina Reapers.
"When we were looking at the literature we found a couple of cases similar to our case", one of the researchers, Kulothungan Gunasekaran of the Henry Ford Health System in Detroit, told The Guardian. So in other words, hot peppers are known to have vasoactive properties, meaning that they can affect the size of blood vessels.
In this case, the patient's symptoms improved, and he was released from the hospital after a few days.
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