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KMID : 1201420220150020141
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Journal of Neurocritical Care
2022 Volume.15 No. 2 p.141 ~ p.145
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Cerebral hyperperfusion syndrome after endovascular stent graft reconstruction for postirradiated carotid blowout syndrome: a case report
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Huang Yu-Cheng
Lin Yen-Heng
Lee Chung-Wei
Liao Ting-Wei
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Abstract
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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 syndrome. The patient developed hypertension, focal neurological deficit, and seizures after the procedure; neuroimages revealed ipsilateral 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.
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KEYWORD
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Cerebrovascular circulation, Stents, Hypertension, Case report
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