Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery

Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery

Cerebral hyperperfusion syndrome (CHS) is a rare complication following cerebral revascularization. It presents with ipsilateral headache, seizures, and intracerebral hemorrhage. It has mostly been described following extracranial carotid endarterectomy and stenting and it is very unusual after intr...

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Main Author: Maramattom, Boby Varkey
Format: Online
Language:English
Published: Medknow Publications & Media Pvt Ltd 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073781/
id pubmed-5073781
recordtype oai_dc
spelling pubmed-50737812016-11-09 Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery Maramattom, Boby Varkey Case Report Cerebral hyperperfusion syndrome (CHS) is a rare complication following cerebral revascularization. It presents with ipsilateral headache, seizures, and intracerebral hemorrhage. It has mostly been described following extracranial carotid endarterectomy and stenting and it is very unusual after intracranial stenting. A 71-year-old man with a stuttering stroke was taken up for a cerebral angiogram (digital subtraction angiography), which showed a dissection of the distal left middle cerebral artery. This was recanalized with a solitaire AB stent. After 12 h, the patient developed a right hemiplegia and aphasia. Computed tomography brain showed two discrete intracerebral hematomas in the left hemisphere. This is the first reported case of CHS following intracranial stenting from India. Medknow Publications & Media Pvt Ltd 2016-10 /pmc/articles/PMC5073781/ /pubmed/27829722 http://dx.doi.org/10.4103/0972-5229.192064 Text en Copyright: © 2016 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Maramattom, Boby Varkey
spellingShingle Maramattom, Boby Varkey
Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery
author_facet Maramattom, Boby Varkey
author_sort Maramattom, Boby Varkey
title Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery
title_short Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery
title_full Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery
title_fullStr Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery
title_full_unstemmed Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery
title_sort cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery
description Cerebral hyperperfusion syndrome (CHS) is a rare complication following cerebral revascularization. It presents with ipsilateral headache, seizures, and intracerebral hemorrhage. It has mostly been described following extracranial carotid endarterectomy and stenting and it is very unusual after intracranial stenting. A 71-year-old man with a stuttering stroke was taken up for a cerebral angiogram (digital subtraction angiography), which showed a dissection of the distal left middle cerebral artery. This was recanalized with a solitaire AB stent. After 12 h, the patient developed a right hemiplegia and aphasia. Computed tomography brain showed two discrete intracerebral hematomas in the left hemisphere. This is the first reported case of CHS following intracranial stenting from India.
publisher Medknow Publications & Media Pvt Ltd
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073781/
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