中国卒中杂志2016，Vol.11Issue(3)：174-178,5.DOI:10.3969/j.issn.1673-5765.2016.03.003
脑血管支架成形术后脑高灌注综合征
Cerebral Hyperperfusion Syndrome after Cerebral Artery Stenting
刘丽 1崔永强 1杜娟 1吴铮 1林甜 1于一娇 1韩雪 1郑雅静 1蔡艺灵1
作者信息
- 1. 100101 北京中国人民解放军第306医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the clinical manifestations and pathogenesis of cerebral hyperperfusion syndrome (CHS). Methods The clinical data of 4 patients with CHS after cerebral artery stenting admitted to 306th Hospital of PLA were analyzed retrospectively. Results The 4 patients were consisted of 3 men and 1 woman whose age ranged from 43 to 77 years old. Among the 4 cases, 2 cases underwent carotid artery stenting (CAS), 1 case underwent CAS and vertebral artery stenting, and 1 case underwent basilar artery stenting. The symptoms of CHS occurred within 1 hour to 3 days after CAS. The clinical manifestations were that 3 cases with headache, 1 case with hemiparesis of right limbs, 1 cases with visual obstruction, and 1 case with coma. Head computed tomography (CT) suggested intracerebral hemorrahge in 2 cases, subarachnoid hemorrhage in 1 case, and brain edema in 1 case. After the treatment of controlling blood pressure and dehydration, 3 patients recovered and 1 patient died. Conclusion CHS is an uncommon but serious complication after CAS. Improving our understanding of CHS may assist in identifying patients at risk in order to optimize CHS prevention and management strategies. The earlier diagnosis, the earlier treatment.关键词
脑高灌注综合征/颈动脉支架置入术/血压/脑出血Key words
Cerebral hyperperfusion syndrome/Carotid artery stenting/Blood pressure/Intracerebral hemorrhage引用本文复制引用
刘丽,崔永强,杜娟,吴铮,林甜,于一娇,韩雪,郑雅静,蔡艺灵..脑血管支架成形术后脑高灌注综合征[J].中国卒中杂志,2016,11(3):174-178,5.
