Hyperperfusion syndrome after stenting for intracranial vertebral stenosis

Hyperperfusion syndrome is a rare but well-described complication after endarterectomy or stenting in the carotid circulation. A 66-year-old man who had vertebrobasilar insufficiency refractory to medical treatment because of an intracranial right side vertebral stenosis was referred to our institut...

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Published inStroke (1970) Vol. 37; no. 1; pp. e12 - e14
Main Authors Rezende, Marco Túlio, Spelle, Laurent, Mounayer, Charbel, Piotin, Michel, Abud, Daniel Giansante, Moret, Jacques
Format Journal Article
LanguageEnglish
Published United States 01.01.2006
Subjects
Aged
Angiography
Angioplasty
Anticoagulants - pharmacology
Brain - pathology
Carotid Stenosis - diagnosis
Constriction, Pathologic
Endarterectomy, Carotid
Hemorrhage - pathology
Humans
Magnetic Resonance Imaging
Male
Perfusion
Reperfusion Injury
Risk Factors
Spine - pathology
Syndrome
Thalamus - pathology
Time Factors
Vertebrobasilar Insufficiency - diagnosis
Vertebrobasilar Insufficiency - pathology
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Summary:Hyperperfusion syndrome is a rare but well-described complication after endarterectomy or stenting in the carotid circulation. A 66-year-old man who had vertebrobasilar insufficiency refractory to medical treatment because of an intracranial right side vertebral stenosis was referred to our institution for endovascular treatment. Stenting was performed, and after 24 hours, he became extremely agitated, and this was followed by a period of apathy without focal neurological deficits. MRI showed bilateral thalamic hemorrhage. To our knowledge, this is the first report of hyperperfusion syndrome with hemorrhagic presentation after intracranial vertebral artery stenting.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:0039-2499
1524-4628
DOI:10.1161/01.str.0000196959.77184.49