Cerebral hyperperfusion syndrome: A cause of neurologic dysfunction after carotid endarterectomy Martha M. Reigel, M.D., Larry H. Hollier, M.D., Thoralf.

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Presentation transcript:

Cerebral hyperperfusion syndrome: A cause of neurologic dysfunction after carotid endarterectomy Martha M. Reigel, M.D., Larry H. Hollier, M.D., Thoralf M. Sundt, M.D., David G. Piepgras, M.D., Frank W. Sharbrough, M.D., Kenneth J. Cherry, M.D. Journal of Vascular Surgery Volume 5, Issue 4, Pages 628-634 (April 1987) DOI: 10.1016/0741-5214(87)90231-X Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Periodic lateralizing epileptiform discharges (PLEDs). A, EEG tracings demonstrate PLEDs in left temporal area (upper four tracings) and right temporal area (lower four tracings). Lowest tracing on the right shows crossover effect from the left hemisphere. B, EEG tracings in the same patient 5 days later show resolution of PLEDs. Journal of Vascular Surgery 1987 5, 628-634DOI: (10.1016/0741-5214(87)90231-X) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Series of head CT scans in patient with cerebral hyperperfusion syndrome. A, Nine days before carotid endarterectomy, normal scan. B, Five days after endarterectomy at time of seizure, showing diffuse patchy edema consistent with hyperperfusion. C, Eight weeks after endarterectomy, with resolution of edema. Journal of Vascular Surgery 1987 5, 628-634DOI: (10.1016/0741-5214(87)90231-X) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Cerebral angiograms in patient with cerebral hyperperfusion syndrome. A, Five days before carotid endarterectomy. B, Eight days after endarterectomy at time of seizure, showing increased cerebral vascularity ipsilateral to carotid endarterectomy. Journal of Vascular Surgery 1987 5, 628-634DOI: (10.1016/0741-5214(87)90231-X) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions