경동맥스텐트삽입술 후 과관류증후군으로 발생한 반대편 피질거미막밑출혈
Contralateral Cortical Subarachnoid Hemorrhage as a Manifestation of Hyperperfusion Syndrome after Carotid Artery Stenting
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Cerebral hyperperfusion syndrome is a rare but serious complication of carotid revascularization, and characterized by ipsilateral headache, hypertension, seizures, and focal neurological deficits. Therefore, treatment strategies are directed towards regulation of blood pressure and limitation of rises in cerebral perfusion to prevent cerebral edema or hemorrhage, especially during several days after carotid endarterctomy or stenting. We report the unique case of a patient who suffered from contralateral cortical subarachnoid hemorrhage after carotid artery stenting, despite of wellcontrolled blood pressure.
Abstract
Cerebral hyperperfusion syndrome is a rare but serious complication of carotid revascularization, and characterized by ipsilateral headache, hypertension, seizures, and focal neurological deficits. Therefore, treatment strategies are directed towards regulation of blood pressure and limitation of rises in cerebral perfusion to prevent cerebral edema or hemorrhage, especially during several days after carotid endarterctomy or stenting. We report the unique case of a patient who suffered from contralateral cortical subarachnoid hemorrhage after carotid artery stenting, despite of wellcontrolled blood pressure.
참고문헌 (10)
- Lin YH, "Update on cerebral hyperperfusion syndrome", J Neurointerv Surg, 12, pp.788~793 (2020)
- Ullery BW, "Bilateral reperfusion injury after carotid en-darterectomy with contralateral carotid occlusion", Vascular, 23, pp.188~192 (2015)
- Moulakakis KG, "Hyper-perfusion syndrome after carotid revascularization", J Vasc Surg, 49, pp.1060~1068 (2009)
- Spitzer C, "Non-traumatic cortical subarachnoid haemorrhage : diagnostic work-up and aetiological background", Neuroradiology, 47, pp.525~531 (2005)
- Farooq MU, "Pathophysiology and management of reperfusion injury and hyperperfusion syndrome af-ter carotid endarterectomy and carotid artery stenting", Exp Transl Stroke Med, 8, pp.7~ (2016)
- Greenfield LJ Jr, "Contralateral reperfusion injury after carotid endarterectomy", J Stroke Cerebrovasc Dis, 4, pp.203~206 (1994)
- Sadato A, "Carotid stenting for unilateral stenosis can increase contralateral hemispheric cerebral blood flow", J Neurointerv Surg, 10, pp.351~354 (2018)
- Abou-Chebl A, "Intensive treatment of hypertension decreases the risk of hyperperfusion and intracerebral hemorrhage following carotid artery stenting", Catheter Cardiovasc Interv, 69, pp.690~696 (2007)
- Abou-Chebl A, "Intracranial hemorrhage and hyperperfusion syndrome following car-otid artery stenting : risk factors, prevention, and treatment", J Am Coll Cardiol, 43, pp.1596~1601 (2004)
- Hayakawa M, "Effectiveness of staged angioplasty for avoidance of cerebral hyperperfusion syndrome after carotid revascularization", J Neurosurg, pp.1~11 (2019)