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Article: Epileptic seizures attributed to cerebral hyperperfusion after percutaneous transluminal angioplasty and stenting of the internal carotid artery

TitleEpileptic seizures attributed to cerebral hyperperfusion after percutaneous transluminal angioplasty and stenting of the internal carotid artery
Authors
Issue Date2000
PublisherS Karger AG. The Journal's web site is located at http://www.karger.com/CED
Citation
Cerebrovascular Diseases, 2000, v. 10 n. 5, p. 374-379 How to Cite?
AbstractCerebral hyperperfusion syndrome as a complication of carotid endarterectomy (CEA) has been widely reported in the surgical literature. It may occur within hours to 3 weeks after CEA and is characterized by symptoms ranging from headaches, fits, confusion, focal neurological signs to intracerebral hemorrhage. Although percutaneous transluminal angioplasty (PTA) and stenting are increasingly performed as an alternative to CEA in the treatment of carotid artery stenosis, few cases of cerebral hyperperfusion injury following carotid stenting have been reported. We describe 2 cases of cerebral hyperperfusion syndrome following PTA and stenting for high-grade internal carotid artery (ICA) stenosis. Both cases involved a lesion of 95% in severity. The first case was a 73-year-old man who developed generalized convulsion 7 h following stenting to the left ICA. The second case was an 80- year-old woman who developed recurrent right periorbital headache and confusion 16 h after stenting to the right ICA, followed by left upper limb seizure 14 days later. Both patients fully recovered without any intracerebral hemorrhage or infarction. To our knowledge, this is the first report of cerebral hyperperfusion injury after carotid stenting without associated intracranial hemorrhage and with full recovery. In the patient with neurological symptoms following carotid stenting, it is important to consider cerebral hyperperfusion syndrome as a differential diagnosis to embolic or hemorrhagic stroke since early recognition and meticulous control of blood pressure may prevent progression to cerebral hemorrhage and death. Copyright (C) 2000 S. Karger AG, Basel.
Persistent Identifierhttp://hdl.handle.net/10722/77030
ISSN
2015 Impact Factor: 3.359
2015 SCImago Journal Rankings: 1.744
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHo, DSWen_HK
dc.contributor.authorWang, Yen_HK
dc.contributor.authorChui, Men_HK
dc.contributor.authorHo, SLen_HK
dc.contributor.authorCheung, RTFen_HK
dc.date.accessioned2010-09-06T07:27:31Z-
dc.date.available2010-09-06T07:27:31Z-
dc.date.issued2000en_HK
dc.identifier.citationCerebrovascular Diseases, 2000, v. 10 n. 5, p. 374-379en_HK
dc.identifier.issn1015-9770en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77030-
dc.description.abstractCerebral hyperperfusion syndrome as a complication of carotid endarterectomy (CEA) has been widely reported in the surgical literature. It may occur within hours to 3 weeks after CEA and is characterized by symptoms ranging from headaches, fits, confusion, focal neurological signs to intracerebral hemorrhage. Although percutaneous transluminal angioplasty (PTA) and stenting are increasingly performed as an alternative to CEA in the treatment of carotid artery stenosis, few cases of cerebral hyperperfusion injury following carotid stenting have been reported. We describe 2 cases of cerebral hyperperfusion syndrome following PTA and stenting for high-grade internal carotid artery (ICA) stenosis. Both cases involved a lesion of 95% in severity. The first case was a 73-year-old man who developed generalized convulsion 7 h following stenting to the left ICA. The second case was an 80- year-old woman who developed recurrent right periorbital headache and confusion 16 h after stenting to the right ICA, followed by left upper limb seizure 14 days later. Both patients fully recovered without any intracerebral hemorrhage or infarction. To our knowledge, this is the first report of cerebral hyperperfusion injury after carotid stenting without associated intracranial hemorrhage and with full recovery. In the patient with neurological symptoms following carotid stenting, it is important to consider cerebral hyperperfusion syndrome as a differential diagnosis to embolic or hemorrhagic stroke since early recognition and meticulous control of blood pressure may prevent progression to cerebral hemorrhage and death. Copyright (C) 2000 S. Karger AG, Basel.en_HK
dc.languageengen_HK
dc.publisherS Karger AG. The Journal's web site is located at http://www.karger.com/CEDen_HK
dc.relation.ispartofCerebrovascular Diseasesen_HK
dc.rightsCerebrovascular Diseases. Copyright © S Karger AG.en_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshAngiographyen_HK
dc.subject.meshAngioplasty, Balloonen_HK
dc.subject.meshCarotid Artery, Internal - physiopathology - surgeryen_HK
dc.subject.meshCarotid Stenosis - diagnosis - physiopathology - surgeryen_HK
dc.subject.meshCerebrovascular Circulationen_HK
dc.subject.meshEpilepsy - etiology - physiopathologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshPostoperative Complications - physiopathologyen_HK
dc.subject.meshSeizures - etiology - physiopathologyen_HK
dc.subject.meshStentsen_HK
dc.titleEpileptic seizures attributed to cerebral hyperperfusion after percutaneous transluminal angioplasty and stenting of the internal carotid arteryen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1015-9770&volume=10&spage=374&epage=379&date=2000&atitle=Epileptic+seizures+attributed+to+cerebral+hyperperfusion+after+percutaneous+transluminal+angioplasty+and+stenting+of+the+internal+carotid+arteryen_HK
dc.identifier.emailHo, SL:slho@hku.hken_HK
dc.identifier.emailCheung, RTF:rtcheung@hku.hken_HK
dc.identifier.authorityHo, SL=rp00240en_HK
dc.identifier.authorityCheung, RTF=rp00434en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1159/000016093en_HK
dc.identifier.pmid10971023-
dc.identifier.scopuseid_2-s2.0-0033819071en_HK
dc.identifier.hkuros63476en_HK
dc.identifier.volume10en_HK
dc.identifier.issue5en_HK
dc.identifier.spage374en_HK
dc.identifier.epage379en_HK
dc.identifier.isiWOS:000089012700005-
dc.publisher.placeSwitzerlanden_HK
dc.identifier.scopusauthoridHo, DSW=7402970193en_HK
dc.identifier.scopusauthoridWang, Y=7601516613en_HK
dc.identifier.scopusauthoridChui, M=7003732062en_HK
dc.identifier.scopusauthoridHo, SL=25959633500en_HK
dc.identifier.scopusauthoridCheung, RTF=7202397498en_HK

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