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VOLUME 20 , ISSUE 10 ( 2016 ) > List of Articles


Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery

Keywords : Cerebral hyperperfusion syndrome, cerebral revascularization complication, intracranial stenting and cerebral hyperperfusion

Citation Information : Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery. Indian J Crit Care Med 2016; 20 (10):620-621.

DOI: 10.4103/0972-5229.192064

License: CC BY-ND 3.0

Published Online: 01-09-2017

Copyright Statement:  Copyright © 2016; The Author(s).


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.

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