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

CASE REPORT

Cerebral hyperperfusion syndrome after intracranial stenting of the middle cerebral artery

Boby Varkey Maramattom

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

Citation Information : Maramattom BV. 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: 00-10-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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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