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Cerebral Hyperperfusion Syndrome, an Unusual But Disastrous Complication of Carotid Recanalization: A Case Report Publisher Pubmed



Siroos B1 ; Harirchian MH1 ; Kazemi Khaledi A2 ; Ghaffarpour M2 ; Golshani S2
Authors
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Authors Affiliations
  1. 1. Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Stroke and Cerebrovascular Diseases Published:2018


Abstract

Cerebral hyperperfusion syndrome (CHS), known as the dark side of carotid recanalization, happens in about 0%-3% of patients. Unfortunately, physicians involving in carotid recanalization generally are not aware of diagnostic and therapeutic aspects of this unusual but potentially life-threatening disorder. Severe bilateral carotid stenosis is suggested to predispose patients to CHS by decrement of cerebrovascular reactivity in a setting of chronic hypoperfusion state. We here introduced such a case; a 69-year-old man, a known case of hypertension and ischemic heart disease, who developed progressive intracranial hypertension underlying CHS after carotid stenting because of symptomatic severe bilateral carotid stenosis. © 2015 National Stroke Association