Detection of Cerebral Hyperperfusion Syndrome after Carotid Endarterectomy with CT Perfusion

被引:6
作者
Schoknecht, Karl [1 ,5 ]
Gabi, Szendro [2 ]
Ifergane, Gal [3 ]
Friedman, Alon [4 ]
Shelef, Ilan [1 ]
机构
[1] Ben Gurion Univ Negev, Soroka Univ Med Ctr, Dept Neuroradiol, IL-84105 Beer Sheva, Israel
[2] Ben Gurion Univ Negev, Soroka Univ Med Ctr, Dept Vasc Surg, IL-84105 Beer Sheva, Israel
[3] Ben Gurion Univ Negev, Soroka Univ Med Ctr, Dept Neurol, IL-84105 Beer Sheva, Israel
[4] Ben Gurion Univ Negev, Dept Physiol, Zlotowski Ctr Neurosci, Fac Hlth Sci, IL-84105 Beer Sheva, Israel
[5] Charite, Inst Neurophysiol, D-13353 Berlin, Germany
关键词
Cerebral hyperperfusion syndrome; CT perfusion; cerebrovascular autoregulation; PREDICTION; FLOW;
D O I
10.1111/j.1552-6569.2012.00773.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We present the case of a 60-year-old female patient, who developed symptomatic internal carotid artery stenosis and subsequently underwent carotid endarterectomy. Four days after an uneventful surgery the patient developed confusion, seizures, and was admitted to the ICU. CT perfusion revealed reduced ispilateral time-to-peak and mean-transient-time and increased cerebral blood volume and cerebral blood flow, confirming the diagnosis of cerebral hyperperfusion syndrome. We thus propose CT perfusion as a diagnostic means for cerebral hyperperfusion syndrome, a syndrome that remains underdiagnosed.
引用
收藏
页码:295 / 297
页数:3
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