Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Hyperperfusion Syndrome after Carotid Stent-Supported Angioplasty in Patients with Autonomic Dysfunction

  • Kim, Dong-Eun (Department of Neurology, Chonnam National University Medical School) ;
  • Choi, Seong-Min (Department of Neurology, Chonnam National University Medical School) ;
  • Yoon, Woong (Department of Radiology, Chonnam National University Medical School) ;
  • Kim, Byeong C. (Department of Neurology, Chonnam National University Medical School)
  • Received : 2012.05.23
  • Accepted : 2012.11.22
  • Published : 2012.11.28
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Abstract

Cerebral hyperperfusion syndrome (CHS) is a rare, serious complication of carotid revascularization either after carotid endarterectomy or carotid stent placement. Although extensive effort has been devoted to reducing the incidence of CHS, little is known about the prevention. Postprocedural hypertension is very rare due to autoregulation of carotid baroreceptors but may occur if presented with autonomic dysfunction. We present two cases of CHS after cerebral revascularization that presented autonomic dysfunction.

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References

  1. Abou-Chebl A, Yadav JS, Reginelli JP, Bajzer C, Bhatt D, Krieger DW : Intracranial hemorrhage and hyperperfusion syndrome following carotid artery stenting : risk factors, prevention, and treatment. J Am Coll Cardiol 43 : 1596-1601, 2004 https://doi.org/10.1016/j.jacc.2003.12.039
  2. Cayne NS, Faries PL, Trocciola SM, Saltzberg SS, Dayal RD, Clair D, et al. : Carotid angioplasty and stent-induced bradycardia and hypotension : impact of prophylactic atropine administration and prior carotid endarterectomy. J Vasc Surg 41 : 956-961, 2005 https://doi.org/10.1016/j.jvs.2005.02.038
  3. Coutts SB, Hill MD, Hu WY : Hyperperfusion syndrome : toward a stricter definition. Neurosurgery 53 : 1053-1058; discussion 1058-1060, 2003 https://doi.org/10.1227/01.NEU.0000088738.80838.74
  4. Freeman R : Assessment of cardiovascular autonomic function. Clin Neurophysiol 117 : 716-730, 2006 https://doi.org/10.1016/j.clinph.2005.09.027
  5. Jaradeh SS, Prieto TE : Evaluation of the autonomic nervous system. Phys Med Rehabil Clin N Am 14 : 287-305, 2003 https://doi.org/10.1016/S1047-9651(02)00121-3
  6. Kaku Y, Yoshimura S, Kokuzawa J : Factors predictive of cerebral hyperperfusion after carotid angioplasty and stent placement. AJNR Am J Neuroradiol 25 : 1403-1408, 2004
  7. Meyers PM, Phatouros CC, Higashida RT : Hyperperfusion syndrome after intracranial angioplasty and stent placement. Stroke 37 : 2210-2211, 2006 https://doi.org/10.1161/01.STR.0000237208.77716.1c
  8. Ogasawara K, Sakai N, Kuroiwa T, Hosoda K, Iihara K, Toyoda K, et al. : Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting : retrospective review of 4494 patients. J Neurosurg 107 : 1130-1136, 2007 https://doi.org/10.3171/JNS-07/12/1130
  9. Schroeder AM, Loh DH, Jordan MC, Roos KP, Colwell CS : Baroreceptor reflex dysfunction in the BACHD mouse model of Huntington's disease. PLoS Curr 3 : RRN1266, 2011 https://doi.org/10.1371/currents.RRN1266
  10. Schwartz RB : Hyperperfusion encephalopathies : hypertensive encephalopathy and related conditions. Neurologist 8 : 22-34, 2002 https://doi.org/10.1097/00127893-200201000-00003
  11. Shields RW : Autonomic nervous system testing : Comprehensive clinical neurophysiology. Philadelphia : W.B. Saunders Company, 2000, pp307-324
  12. van Mook WN, Rennenberg RJ, Schurink GW, van Oostenbrugge RJ, Mess WH, Hofman PA, et al. : Cerebral hyperperfusion syndrome. Lancet Neurol 4 : 877-888, 2005 https://doi.org/10.1016/S1474-4422(05)70251-9
  13. Weston PJ, James MA, Panerai R, McNally PG, Potter JF, Thurston H, et al. : Abnormal baroreceptor-cardiac reflex sensitivity is not detected by conventional tests of autonomic function in patients with insulin-dependent diabetes mellitus. Clin Sci (Lond) 91 : 59-64, 1996 https://doi.org/10.1042/cs0910059

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