Detection of cerebral hyperperfusion syndrome after carotid endarterectomy with CT perfusion

Karl Schoknecht, Szendro Gabi, Gal Ifergane, Alon Friedman, Ilan Shelef

Research output: Contribution to journalArticlepeer-review

Abstract

We present the case of a 60-year-old female patient, who developed symptomatic internal carotid artery stenosis and subsequently underwent carotid endarterectomy. Four days after an uneventful surgery the patient developed confusion, seizures, and was admitted to the ICU. CT perfusion revealed reduced ispilateral time-to-peak and mean-transient-time and increased cerebral blood volume and cerebral blood flow, confirming the diagnosis of cerebral hyperperfusion syndrome. We thus propose CT perfusion as a diagnostic means for cerebral hyperperfusion syndrome, a syndrome that remains underdiagnosed.

Original languageAmerican English
Pages (from-to)295-297
Number of pages3
JournalJournal of Neuroimaging
Volume24
Issue number3
DOIs
StatePublished - 1 Jan 2014

Keywords

  • CT perfusion
  • Cerebral hyperperfusion syndrome
  • Cerebrovascular autoregulation

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging

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