https://scholars.lib.ntu.edu.tw/handle/123456789/628917
標題: | Cerebral hyperperfusion syndrome after endovascular stent graft reconstruction for postirradiated carotid blowout syndrome: a case report | 作者: | Huang, Yu Cheng YEN-HENG LIN CHUNG-WEI LEE Liao, Ting Wei |
關鍵字: | Case report | Cerebrovascular circulation | Hypertension | Stents | 公開日期: | 1-十二月-2022 | 卷: | 15 | 期: | 2 | 來源出版物: | Journal of Neurocritical Care | 摘要: | Background: Cerebral hyperperfusion syndrome (CHS) is a failure of autoregulation after a revascularization procedure. It has rarely been reported in patients with no pre-existing cerebral hypoperfusion. Case Report: We present a rare case of a patient who underwent stent graft implantation to treat postirradiated carotid blowout syn-drome. The patient developed hypertension, focal neurological deficit, and seizures after the procedure; neuroimages revealed ipsilat-eral cerebral edema, swelling, and increased cerebral perfusion. CHS was diagnosed based on clinical and radiological findings. The patient recovered gradually after receiving supportive care. Conclusion: Owing to the risk of CHS, monitoring for cerebral perfusion and prevention of hypertension is suggested for patients who undergo stent graft placement for postirradiated carotid blowout syndrome. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/628917 | ISSN: | 2508-1349 | DOI: | 10.18700/jnc.220059 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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