Cerebral hyperperfusion syndrome following combined aneurysm trapping and low-flow bypass for fusiform aneurysm of the middle cerebral artery

被引：0

作者：

Naruse, Yu ^{[1
]}

Sato, Taku ^{[2
]}

Endo, Mio ^{[1
]}

Kamamura, Miho ^{[1
]}

Saito, Kiyoshi ^{[1
]}

机构：

[1] Fukushima Rosai Hosp, Dept Neurosurg, Numajiri 3,Uchigotsuzura Machi, Iwaki, Fukushima 9738403, Japan

[2] Azuma Neurosurg Hosp, Dept Neurosurg, Fukushima, Fukushima, Japan

来源：

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT | 2025年 / 40卷

关键词：

Cerebral hyperperfusion syndrome; Aneurysm trapping; Low-flow bypass; SURGERY;

D O I：

10.1016/j.inat.2025.102025

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The mechanism of cerebral hyperperfusion syndrome (CHS) following aneurysm surgery remains unclear. We report the case of a 66-year-old woman with an unruptured large fusiform-shaped aneurysm of the left middle cerebral artery. She underwent a combination of aneurysm trapping and superficial temporal artery to middle cerebral artery anastomosis. Postoperatively, she developed motor aphasia. Computed tomography perfusion imaging and single photon emission computed tomography showed increased cerebral blood flow in the left frontal lobe. A diagnosis of CHS was made following aneurysm trapping with low-flow bypass. This case highlights the importance of assessing the risk of CHS when performing this surgical procedure.

引用

页数：3

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