Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome
Cerebral hyperperfusion syndrome (CHS) is a rare life-threatening complication of carotid endarterectomy (CEA) and carotid artery stenting (CAS) for carotid artery stenosis. The incidence varies between 0 and 3%, depending on the severity of the stenosis, perioperative hypertension, and contralatera...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/7965758 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551817759686656 |
|---|---|
| author | Mohankumar Kurukumbi Ahn Truong Naghemeh Pirsaharkhiz |
| author_facet | Mohankumar Kurukumbi Ahn Truong Naghemeh Pirsaharkhiz |
| author_sort | Mohankumar Kurukumbi |
| collection | DOAJ |
| description | Cerebral hyperperfusion syndrome (CHS) is a rare life-threatening complication of carotid endarterectomy (CEA) and carotid artery stenting (CAS) for carotid artery stenosis. The incidence varies between 0 and 3%, depending on the severity of the stenosis, perioperative hypertension, and contralateral carotid stenosis. This case report reports a 53-year-old female patient presenting with decreased alertness and multiple tonic-clonic seizures, in the background of bilateral CEA. She was found to have bilateral carotid stenosis. Her left CEA was performed three months prior and right CEA was four days prior to her current presentation with seizures. After bilateral CEA, the imaging showed extensive pathologic process involving primarily the subcortical white matter and overlying cortex, more on the right cerebral hemisphere. On follow-up six weeks later, she reported no recurrent seizures and imaging showed decrease in abnormal signal intensity of the grey and white matter. This was indicative of near complete resolution of hyperperfusion damage. CHS is a rare complication due to the loss of autoregulation of the cerebrovascular system and increased blood flow status after bilateral CEA. This case is reported because of a rare and unique presentation of seizures in the background of bilateral CEA. |
| format | Article |
| id | doaj-art-8b376b74d7bc4f9ba30da928784a7fb2 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-8b376b74d7bc4f9ba30da928784a7fb22025-02-03T06:00:26ZengWileyCase Reports in Neurological Medicine2090-66682090-66762017-01-01201710.1155/2017/79657587965758Uncommon Etiology for Seizure: Cerebral Hyperperfusion SyndromeMohankumar Kurukumbi0Ahn Truong1Naghemeh Pirsaharkhiz2Department of Neurology, Inova Fairfax Hospital, Falls Church, VA, USAVCU School of Medicine, Inova Campus, Falls Church, VA, USADepartment of Neurology, VCU School of Medicine, Inova Campus, Falls Church, VA, USACerebral hyperperfusion syndrome (CHS) is a rare life-threatening complication of carotid endarterectomy (CEA) and carotid artery stenting (CAS) for carotid artery stenosis. The incidence varies between 0 and 3%, depending on the severity of the stenosis, perioperative hypertension, and contralateral carotid stenosis. This case report reports a 53-year-old female patient presenting with decreased alertness and multiple tonic-clonic seizures, in the background of bilateral CEA. She was found to have bilateral carotid stenosis. Her left CEA was performed three months prior and right CEA was four days prior to her current presentation with seizures. After bilateral CEA, the imaging showed extensive pathologic process involving primarily the subcortical white matter and overlying cortex, more on the right cerebral hemisphere. On follow-up six weeks later, she reported no recurrent seizures and imaging showed decrease in abnormal signal intensity of the grey and white matter. This was indicative of near complete resolution of hyperperfusion damage. CHS is a rare complication due to the loss of autoregulation of the cerebrovascular system and increased blood flow status after bilateral CEA. This case is reported because of a rare and unique presentation of seizures in the background of bilateral CEA.http://dx.doi.org/10.1155/2017/7965758 |
| spellingShingle | Mohankumar Kurukumbi Ahn Truong Naghemeh Pirsaharkhiz Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome Case Reports in Neurological Medicine |
| title | Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome |
| title_full | Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome |
| title_fullStr | Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome |
| title_full_unstemmed | Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome |
| title_short | Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome |
| title_sort | uncommon etiology for seizure cerebral hyperperfusion syndrome |
| url | http://dx.doi.org/10.1155/2017/7965758 |
| work_keys_str_mv | AT mohankumarkurukumbi uncommonetiologyforseizurecerebralhyperperfusionsyndrome AT ahntruong uncommonetiologyforseizurecerebralhyperperfusionsyndrome AT naghemehpirsaharkhiz uncommonetiologyforseizurecerebralhyperperfusionsyndrome |