A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection
Urgent carotid artery stenting (CAS) is effective for treatment-resistant cervical internal carotid artery dissection (CICAD). We experienced a 37-year-old woman who presented with sudden onset of cervical pain, blurred vision in the right eye, and numbness in the left upper and lower extremities. D...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323005216 |
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| author | Kentaro Fujimoto, MD, PhD Kohei Chida, MD, PhD Jun Yoshida, MD, PhD Daigo Kojima, MD, PhD Koji Yoshida, MD, PhD Toshinari Misaki, MD, PhD Hiromu Konno, MD, PhD Kuniaki Ogasawara, MD, PhD |
| author_facet | Kentaro Fujimoto, MD, PhD Kohei Chida, MD, PhD Jun Yoshida, MD, PhD Daigo Kojima, MD, PhD Koji Yoshida, MD, PhD Toshinari Misaki, MD, PhD Hiromu Konno, MD, PhD Kuniaki Ogasawara, MD, PhD |
| author_sort | Kentaro Fujimoto, MD, PhD |
| collection | DOAJ |
| description | Urgent carotid artery stenting (CAS) is effective for treatment-resistant cervical internal carotid artery dissection (CICAD). We experienced a 37-year-old woman who presented with sudden onset of cervical pain, blurred vision in the right eye, and numbness in the left upper and lower extremities. Due to neurological deterioration resulting from hemodynamic impairment, urgent CAS was performed under general anesthesia. Brain perfusion single-photon emission computed tomography performed immediately after CAS showed increased blood flow in the right hemisphere despite no evidence of hemorrhage or ischemic lesion on brain computed tomography (CT). Systolic blood pressure was therefore strictly controlled below 110 mm Hg perioperatively. However, the day after CAS, a follow-up CT showed intracerebral hemorrhage in the right temporal lobe. Urgent CAS in patients with progressive deterioration of hemodynamic impairment caused by CICAD may induce intracerebral hemorrhage due to cerebral hyperperfusion. Care should be taken to recognize and manage this phenomenon during the perioperative period. |
| first_indexed | 2024-03-11T21:24:50Z |
| format | Article |
| id | doaj.art-61cb28a63b62423d97ff92814a75b5b7 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T21:24:50Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-61cb28a63b62423d97ff92814a75b5b72023-09-28T05:25:17ZengElsevierRadiology Case Reports1930-04332023-11-01181138563860A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissectionKentaro Fujimoto, MD, PhD0Kohei Chida, MD, PhD1Jun Yoshida, MD, PhD2Daigo Kojima, MD, PhD3Koji Yoshida, MD, PhD4Toshinari Misaki, MD, PhD5Hiromu Konno, MD, PhD6Kuniaki Ogasawara, MD, PhD7Department of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, Japan; Department of Neurosurgery, Iwate Medical University, Yahaba, Iwate, Japan; Corresponding author.Department of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, Japan; Department of Neurosurgery, Iwate Medical University, Yahaba, Iwate, JapanDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, JapanDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, JapanDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, JapanDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, JapanDepartment of Neurosurgery, Hachinohe Red-Cross Hospital, Hachinohe, Aomori, JapanDepartment of Neurosurgery, Iwate Medical University, Yahaba, Iwate, JapanUrgent carotid artery stenting (CAS) is effective for treatment-resistant cervical internal carotid artery dissection (CICAD). We experienced a 37-year-old woman who presented with sudden onset of cervical pain, blurred vision in the right eye, and numbness in the left upper and lower extremities. Due to neurological deterioration resulting from hemodynamic impairment, urgent CAS was performed under general anesthesia. Brain perfusion single-photon emission computed tomography performed immediately after CAS showed increased blood flow in the right hemisphere despite no evidence of hemorrhage or ischemic lesion on brain computed tomography (CT). Systolic blood pressure was therefore strictly controlled below 110 mm Hg perioperatively. However, the day after CAS, a follow-up CT showed intracerebral hemorrhage in the right temporal lobe. Urgent CAS in patients with progressive deterioration of hemodynamic impairment caused by CICAD may induce intracerebral hemorrhage due to cerebral hyperperfusion. Care should be taken to recognize and manage this phenomenon during the perioperative period.http://www.sciencedirect.com/science/article/pii/S1930043323005216Carotid artery dissectionCerebral hemodynamic ischemiaUrgent carotid artery stentingCerebral hyperperfusionIntracerebral hemorrhage |
| spellingShingle | Kentaro Fujimoto, MD, PhD Kohei Chida, MD, PhD Jun Yoshida, MD, PhD Daigo Kojima, MD, PhD Koji Yoshida, MD, PhD Toshinari Misaki, MD, PhD Hiromu Konno, MD, PhD Kuniaki Ogasawara, MD, PhD A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection Radiology Case Reports Carotid artery dissection Cerebral hemodynamic ischemia Urgent carotid artery stenting Cerebral hyperperfusion Intracerebral hemorrhage |
| title | A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection |
| title_full | A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection |
| title_fullStr | A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection |
| title_full_unstemmed | A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection |
| title_short | A case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection |
| title_sort | case of intracerebral hemorrhage due to cerebral hyperperfusion after stenting for acute cervical carotid artery dissection |
| topic | Carotid artery dissection Cerebral hemodynamic ischemia Urgent carotid artery stenting Cerebral hyperperfusion Intracerebral hemorrhage |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323005216 |
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