Cerebral hyperperfusion syndrome after stenting for revascularization of intracranial internal carotid artery dissection
Cerebral hyperperfusion syndrome (CHS) is one of the complications of cerebral revascularization. The main pathophysiology of CHS was considered to be cerebral autoregulation impairment due to long-standing cerebral hypoperfusion. Herein, we describe the case of a 40-year-old man with symptomatic in...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2023-04, Vol.227, p.107667, Article 107667 |
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| creator | Funatsu, Takayuki Imamura, Hirotoshi Tani, Shoichi Adachi, Hidemitsu Adachi, Hiromasa Sakai, Nobuyuki |
| description | Cerebral hyperperfusion syndrome (CHS) is one of the complications of cerebral revascularization. The main pathophysiology of CHS was considered to be cerebral autoregulation impairment due to long-standing cerebral hypoperfusion. Herein, we describe the case of a 40-year-old man with symptomatic intracranial arterial dissection (IAD) related to internal carotid artery stenosis. The patient underwent intracranial stenting 11 days after onset due to severe cerebral hypoperfusion presenting with neurological symptoms, and CHS presenting with intracerebral hemorrhage, post-operatively. The present case indicated not only the potential risk of CHS after intracranial stenting in IAD-related stenosis but also that cerebral hypoperfusion—even in a short period—might lead to CHS.
•CHS after stenting for ICA dissection presenting with ischemia was described.•Even short term cerebral hypoperfusion may lead CHS after revascularization.•Poor collateral circulation was associated with CHS after revascularization. |
| doi_str_mv | 10.1016/j.clineuro.2023.107667 |
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•CHS after stenting for ICA dissection presenting with ischemia was described.•Even short term cerebral hypoperfusion may lead CHS after revascularization.•Poor collateral circulation was associated with CHS after revascularization.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2023.107667</identifier><identifier>PMID: 36934635</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Blood pressure ; Carotid arteries ; Carotid artery ; Carotid Artery, Internal, Dissection - complications ; Carotid Artery, Internal, Dissection - diagnostic imaging ; Carotid Artery, Internal, Dissection - surgery ; Carotid Stenosis - complications ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - surgery ; Cerebral Hemorrhage - etiology ; Cerebral hyperperfusion syndrome ; Cerebral revascularization ; Conflicts of interest ; Dysarthria ; General anesthesia ; Hemorrhage ; Humans ; Intracranial arterial dissection ; Intracranial stenting ; Ischemia ; Magnetic resonance imaging ; Male ; Medical imaging ; Pathophysiology ; Permeability ; Stenosis ; Stents ; Transient ischemic attack ; Vascular Surgical Procedures ; Veins & arteries</subject><ispartof>Clinical neurology and neurosurgery, 2023-04, Vol.227, p.107667, Article 107667</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><rights>2023. Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c310t-5ede49b80058ea1c81aa7ccf1056f2e200533f04ce335dbb67b7e01d3f672ee53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2791188548?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36934635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Funatsu, Takayuki</creatorcontrib><creatorcontrib>Imamura, Hirotoshi</creatorcontrib><creatorcontrib>Tani, Shoichi</creatorcontrib><creatorcontrib>Adachi, Hidemitsu</creatorcontrib><creatorcontrib>Adachi, Hiromasa</creatorcontrib><creatorcontrib>Sakai, Nobuyuki</creatorcontrib><title>Cerebral hyperperfusion syndrome after stenting for revascularization of intracranial internal carotid artery dissection</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>Cerebral hyperperfusion syndrome (CHS) is one of the complications of cerebral revascularization. The main pathophysiology of CHS was considered to be cerebral autoregulation impairment due to long-standing cerebral hypoperfusion. Herein, we describe the case of a 40-year-old man with symptomatic intracranial arterial dissection (IAD) related to internal carotid artery stenosis. The patient underwent intracranial stenting 11 days after onset due to severe cerebral hypoperfusion presenting with neurological symptoms, and CHS presenting with intracerebral hemorrhage, post-operatively. The present case indicated not only the potential risk of CHS after intracranial stenting in IAD-related stenosis but also that cerebral hypoperfusion—even in a short period—might lead to CHS.
•CHS after stenting for ICA dissection presenting with ischemia was described.•Even short term cerebral hypoperfusion may lead CHS after revascularization.•Poor collateral circulation was associated with CHS after revascularization.</description><subject>Adult</subject><subject>Blood pressure</subject><subject>Carotid arteries</subject><subject>Carotid artery</subject><subject>Carotid Artery, Internal, Dissection - complications</subject><subject>Carotid Artery, Internal, Dissection - diagnostic imaging</subject><subject>Carotid Artery, Internal, Dissection - surgery</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - surgery</subject><subject>Cerebral Hemorrhage - etiology</subject><subject>Cerebral hyperperfusion syndrome</subject><subject>Cerebral revascularization</subject><subject>Conflicts of interest</subject><subject>Dysarthria</subject><subject>General anesthesia</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Intracranial arterial dissection</subject><subject>Intracranial stenting</subject><subject>Ischemia</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Pathophysiology</subject><subject>Permeability</subject><subject>Stenosis</subject><subject>Stents</subject><subject>Transient ischemic attack</subject><subject>Vascular Surgical Procedures</subject><subject>Veins & arteries</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkEFvGyEUhFHVqHGS_oUIKed1YdkFfEtkNW0lS720Z8TCI8WywXnsRnV_fVg57jUSEjCamQcfIbecLTnj8st26XYxwYR52bJWVFFJqT6QBdeqbeRK6o9kwQQTje6kuiRXpWwZY0JI_YlcCrkSnRT9gvxdA8KAdkf_HA-AdYWpxJxoOSaPeQ_UhhGQlhHSGNMTDRkpwostbtpZjP_sOLtzoDGNaB3aFGtZvQCmenAW8xg9tViFI_WxFHBz5IZcBLsr8Pltvya_H7_-Wn9vNj-__Vg_bBonOBubHjx0q0Ez1muw3GlurXIucNbL0EJbdSEC6xwI0fthkGpQwLgXQaoWoBfX5O7Ue8D8PEEZzTZP89OKadWKc637TleXPLkc5lIQgjlg3Fs8Gs7MDNxszRm4mYGbE_AavH2rn4Y9-P-xM-FquD8ZoH7yJQKa4iIkBz5iJWF8ju_NeAWMEZkl</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Funatsu, Takayuki</creator><creator>Imamura, Hirotoshi</creator><creator>Tani, Shoichi</creator><creator>Adachi, Hidemitsu</creator><creator>Adachi, Hiromasa</creator><creator>Sakai, Nobuyuki</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>202304</creationdate><title>Cerebral hyperperfusion syndrome after stenting for revascularization of intracranial internal carotid artery dissection</title><author>Funatsu, Takayuki ; Imamura, Hirotoshi ; Tani, Shoichi ; Adachi, Hidemitsu ; Adachi, Hiromasa ; Sakai, Nobuyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-5ede49b80058ea1c81aa7ccf1056f2e200533f04ce335dbb67b7e01d3f672ee53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Blood pressure</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid Artery, Internal, Dissection - complications</topic><topic>Carotid Artery, Internal, Dissection - diagnostic imaging</topic><topic>Carotid Artery, Internal, Dissection - surgery</topic><topic>Carotid Stenosis - complications</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - surgery</topic><topic>Cerebral Hemorrhage - etiology</topic><topic>Cerebral hyperperfusion syndrome</topic><topic>Cerebral revascularization</topic><topic>Conflicts of interest</topic><topic>Dysarthria</topic><topic>General anesthesia</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Intracranial arterial dissection</topic><topic>Intracranial stenting</topic><topic>Ischemia</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Pathophysiology</topic><topic>Permeability</topic><topic>Stenosis</topic><topic>Stents</topic><topic>Transient ischemic attack</topic><topic>Vascular Surgical Procedures</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Funatsu, Takayuki</creatorcontrib><creatorcontrib>Imamura, Hirotoshi</creatorcontrib><creatorcontrib>Tani, Shoichi</creatorcontrib><creatorcontrib>Adachi, Hidemitsu</creatorcontrib><creatorcontrib>Adachi, Hiromasa</creatorcontrib><creatorcontrib>Sakai, Nobuyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Funatsu, Takayuki</au><au>Imamura, Hirotoshi</au><au>Tani, Shoichi</au><au>Adachi, Hidemitsu</au><au>Adachi, Hiromasa</au><au>Sakai, Nobuyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral hyperperfusion syndrome after stenting for revascularization of intracranial internal carotid artery dissection</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2023-04</date><risdate>2023</risdate><volume>227</volume><spage>107667</spage><pages>107667-</pages><artnum>107667</artnum><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract>Cerebral hyperperfusion syndrome (CHS) is one of the complications of cerebral revascularization. The main pathophysiology of CHS was considered to be cerebral autoregulation impairment due to long-standing cerebral hypoperfusion. Herein, we describe the case of a 40-year-old man with symptomatic intracranial arterial dissection (IAD) related to internal carotid artery stenosis. The patient underwent intracranial stenting 11 days after onset due to severe cerebral hypoperfusion presenting with neurological symptoms, and CHS presenting with intracerebral hemorrhage, post-operatively. The present case indicated not only the potential risk of CHS after intracranial stenting in IAD-related stenosis but also that cerebral hypoperfusion—even in a short period—might lead to CHS.
•CHS after stenting for ICA dissection presenting with ischemia was described.•Even short term cerebral hypoperfusion may lead CHS after revascularization.•Poor collateral circulation was associated with CHS after revascularization.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36934635</pmid><doi>10.1016/j.clineuro.2023.107667</doi></addata></record> |
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| ispartof | Clinical neurology and neurosurgery, 2023-04, Vol.227, p.107667, Article 107667 |
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| subjects | Adult Blood pressure Carotid arteries Carotid artery Carotid Artery, Internal, Dissection - complications Carotid Artery, Internal, Dissection - diagnostic imaging Carotid Artery, Internal, Dissection - surgery Carotid Stenosis - complications Carotid Stenosis - diagnostic imaging Carotid Stenosis - surgery Cerebral Hemorrhage - etiology Cerebral hyperperfusion syndrome Cerebral revascularization Conflicts of interest Dysarthria General anesthesia Hemorrhage Humans Intracranial arterial dissection Intracranial stenting Ischemia Magnetic resonance imaging Male Medical imaging Pathophysiology Permeability Stenosis Stents Transient ischemic attack Vascular Surgical Procedures Veins & arteries |
| title | Cerebral hyperperfusion syndrome after stenting for revascularization of intracranial internal carotid artery dissection |
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