Long-Lasting Symptomatic Cerebral Hyperperfusion Syndrome following Superficial Temporal Artery-Middle Cerebral Artery Bypass in a Patient with Stenosis of Middle Cerebral Artery

المؤلفون المشاركون

Mamiya, Takashi
Shimato, Shinji
Nishizawa, Toshihisa
Yamanouchi, Takashi
Ishikawa, Kojiro
Kato, Kyozo

المصدر

Case Reports in Neurological Medicine

العدد

المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-5، 5ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2018-09-23

دولة النشر

مصر

عدد الصفحات

5

التخصصات الرئيسية

الطب البشري

الملخص EN

Cerebral hyperperfusion syndrome (CHPS) is a complication that can occur after cerebral revascularization surgeries such as superficial temporal artery- (STA-) middle cerebral artery (MCA) anastomosis, and it can lead to neurological deteriorations.

CHPS is usually temporary and disappears within two weeks.

The authors present a case in which speech disturbance due to CHPS lasted unexpectedly long and three months was taken for full recovery.

A 40-year-old woman, with a history of medication of quetiapine, dopamine 2 receptor antagonist as an antipsychotics for depression, underwent STA-MCA anastomosis for symptomatic left MCA stenosis.

On the second day after surgery, the patient exhibited mild speech disturbance which deteriorated into complete motor aphasia and persisted for one month.

SPECT showed the increase of cerebral blood flow (CBF) in left cerebrum, verifying the diagnosis of CHPS.

Although CBF increase disappeared one month after surgery, speech disturbance continued for additionally two months with a slow improvement.

This case represents a rare clinical course of CHPS.

The presumable mechanisms of the prolongation of CHPS are discussed, and the medication of quetiapine might be one possible cause by its effect on cerebral vessels as dopamine 2 receptor antagonist, posing the caution against antipsychotics in cerebrovascular surgeries.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Shimato, Shinji& Nishizawa, Toshihisa& Yamanouchi, Takashi& Mamiya, Takashi& Ishikawa, Kojiro& Kato, Kyozo. 2018. Long-Lasting Symptomatic Cerebral Hyperperfusion Syndrome following Superficial Temporal Artery-Middle Cerebral Artery Bypass in a Patient with Stenosis of Middle Cerebral Artery. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145398

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Shimato, Shinji…[et al.]. Long-Lasting Symptomatic Cerebral Hyperperfusion Syndrome following Superficial Temporal Artery-Middle Cerebral Artery Bypass in a Patient with Stenosis of Middle Cerebral Artery. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1145398

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Shimato, Shinji& Nishizawa, Toshihisa& Yamanouchi, Takashi& Mamiya, Takashi& Ishikawa, Kojiro& Kato, Kyozo. Long-Lasting Symptomatic Cerebral Hyperperfusion Syndrome following Superficial Temporal Artery-Middle Cerebral Artery Bypass in a Patient with Stenosis of Middle Cerebral Artery. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145398

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1145398