Imaging studies of cerebral hyperperfusion after carotid endarterectomy. Case report.

Abstract:

:A case is reported of severe unilateral hemispheric edema and localized hemorrhage associated with seizures following endarterectomy of an ipsilateral high-grade carotid stenosis. Imaging studies including angiography, computerized tomography (CT), magnetic resonance imaging/angiography, and xenon-CT, suggested postoperative ipsilateral cerebral hyperperfusion. Cerebral hyperperfusion syndromes caused by a probable failure of vascular autoregulation are rare but potentially serious complications after endarterectomy. The literature on this type of complication is briefly reviewed, and the role of various imaging modalities in identification of the syndrome and in guiding management decisions is emphasized.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Penn AA,Schomer DF,Steinberg GK

doi

10.3171/jns.1995.83.1.0133

subject

Has Abstract

pub_date

1995-07-01 00:00:00

pages

133-7

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

83

pub_type

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