Intracerebral Hemorrhage Caused by Cerebral Hyperperfusion after Superficial Temporal Artery to Middle Cerebral Artery Bypass for Atherosclerotic Occlusive Cerebrovascular Disease
| Autor: | Takayuki Mizunari, Fumihiro Matano, Yasuo Murai, Akio Morita, Koji Adachi, Shiro Kobayashi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Cerebral arteries atherosclerotic Case Report 030204 cardiovascular system & hematology Revascularization Magnetic resonance angiography 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery medicine cerebral hyperperfusion Intracerebral hemorrhage medicine.diagnostic_test business.industry Free radical scavenger Superficial temporal artery medicine.disease intracerebral hemorrhage Bypass surgery Middle cerebral artery Cardiology extracranial–intracranial bypass business 030217 neurology & neurosurgery |
| Zdroj: | NMC Case Report Journal |
| ISSN: | 2188-4226 |
| Popis: | Few papers have reported detailed accounts of intracerebral hemorrhage caused by cerebral hyperperfusion after superficial temporal artery to middle cerebral artery bypass (STA-MCA) bypass for atherosclerotic occlusive cerebrovascular disease. We report a case of vasogenic edema and subsequent intracerebral hemorrhage caused by the cerebral hyperperfusion syndrome (CHS) after STA-MCA bypass for atherosclerotic occlusive cerebrovascular disease disease without intense postoperative blood pressure control. A 63-year-old man with repeating left hemiparesis underwent magnetic resonance angiography (MRA), which revealed right internal carotid artery (ICA) occlusion. We performed a double bypass superficial temporal artery (STA)-middle cerebral artery (MCA) bypass surgery for the M2 and M3 branches. While the patient's postoperative course was relatively uneventful, he suffered generalized convulsions, and computed tomography revealed a low area in the right frontal lobe on Day 4 after surgery. We considered this lesion to be pure vasogenic edema caused by cerebral hyperperfusion after revascularization. Intravenous drip infusion of a free radical scavenger (edaravone) and efforts to reduce systolic blood pressure to |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|