Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome
Joint Authors
Kurukumbi, Mohankumar
Truong, Ahn
Pirsaharkhiz, Naghemeh
Source
Case Reports in Neurological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Kurukumbi, Mohankumar& Truong, Ahn& Pirsaharkhiz, Naghemeh. 2017. Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome. Case Reports in Neurological Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147209
Modern Language Association (MLA)
Kurukumbi, Mohankumar…[et al.]. Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome. Case Reports in Neurological Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1147209
American Medical Association (AMA)
Kurukumbi, Mohankumar& Truong, Ahn& Pirsaharkhiz, Naghemeh. Uncommon Etiology for Seizure: Cerebral Hyperperfusion Syndrome. Case Reports in Neurological Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147209
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147209