Cerebral hyperperfusion syndrome after carotid angioplasty

Zoran Miloševič (Author), Bojana Žvan (Author), Marjan Zaletel (Author), Miloš Šurlan (Author)

Abstract

Background. Cerebral hyperperfusion syndrome after carotid endarterectomy is an uncommon but well-de- fined entity. There are only few reports of "hyperperfusion injury" following carotid angioplasty. Case report. We report an unstable arterial hypertension and high grade carotid stenosis in a 58-year-old, right-handed woman. After a stroke in the territory of middle cerebral artery carotid angioplasty was per- formed in the patient. Among riskfactors, the long lasting arterial hypertension was the most pronounced. Immediately after the procedure, the patient was stable without any additionalneurologic deficit. The sec- ond day, the patient had an epileptic seizure and CT revealed a small haemorrhage in the left frontal lobe. Conclusions. The combination of a high grade carotid stenosis and unstable arterial pressure is probably an important prognostic factor in the pathogenesis of hyperperfusion syndrome.

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Data

Language:	English
Year of publishing:	2002
Typology:	1.08 - Published Scientific Conference Contribution
Organization:	OI - Institute of Oncology
Publisher:	Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society
UDC:	616.8
COBISS:	15878105
ISSN:	1318-2099
Parent publication:	Radiology and oncology
Views:	7
Downloads:	3
Average score:	0 (0 votes)
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Other data

Secondary language:	Slovenian
Secondary title:	Sindrom hiperperfuzije možganov po karotidni angioplastiki
Secondary abstract:	Izhodišča. Sindrom hiperperfuzije možganov po kirurški karotidni endarterektomiji je redek pojav, vendar v literaturi pogosto opisan. Hiperperfuzijska poškodba možganov po znotrajžilni karotidni angioplastiki je prav tako redek pojav, opisi v literaturi pa so še redkejši. Prikaz primera. Avtorji poročajo o 58-letni bolnici, ki je imela nekontrolirano arterijsko hipertenzijo in močno zožitev leve notranje karotidne arterije. Bolnica je bila desničarka in je že prebolela manjšo možgansko kap v povirju srednje možganske arterije na strani zožitve. Odločili so se za. karotidno angioplastiko. Takoj po posegu je bila bolnica stabilna in brez dodatnih nevroloških izpadov. Dva dni po posegu je prišlo do epileptičnega napada. Računalniška tomografska preiskava možganov pa je pokazala manjšo krvavitev v področju levega frontalnega režnja velikih možganov. Zaključki. Kombinacija hude zožitve notranje karotidne arterije in nekontrolirane arterijske hipertenzije lahko povzroči hiperperfuzijo možganov po karotidni angioplastiki.
Secondary keywords:	Carotid Artery Diseases;Complications;Surgery;Cerebral Hemorrhage;Reperfusion Injury;Angioplasty;Adverse Effects;Middle Age;Seizures;Headache;Hypertension;Angioplastika;Karotidna arterija, bolezni;Možganska krvavitev;Reperfuzijska poškodba;Glavobol;Hipertenzija;Napadi krčev;Srednja leta;
URN:	URN:NBN:SI
Source comment:	30. jubilee annual meeting of radiologists of the Alpe Adria region; 2001 Oct 26-27; Portorož; BSDOCID94657;
Pages:	str. 291-295
Volume:	ǂLetn. ǂ36
Issue:	ǂšt. ǂ4
Chronology:	2002
ID:	22754363