Document Detail


Three cases of hyperperfusion syndrome identified by daily transcranial Doppler investigation after carotid surgery.
MedLine Citation:
PMID:  11748943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: cerebral hyperperfusion syndrome (HS), occurs in 0.5-1% of patients undergoing carotid endarterectomy (CEA), and may result in intracerebral haemorrhage and death. Aim: to diagnose HS by means of postoperative Transcranial Doppler (TCD). METHODS: between 1998 and 2001 nearly all 112 patients who underwent CEA were monitored for four days postoperatively by Transcranial Doppler. RESULTS: there were 3 patients with HS. All three showed TCD abnormalities hours before developing symptoms. One patient developed a full blown HS. Presumably, symptoms in the other two patients could be prevented by timely starting or restoring anti-hypertensive treatment. CONCLUSION: daily TCD investigation in all patients undergoing CEA seems an effective strategy for the presymptomatic detection of HS.
Authors:
A Schaafsma; L v d Veen; J P M Vos
Related Documents :
22070283 - Seizures and epilepsy in alzheimer's disease.
6540403 - Intraluminal clot of the carotid artery detected radiographically.
3006463 - Ct evaluation of the greater sciatic foramen in patients with sciatica.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  23     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2001-12-25     Completed Date:  2002-03-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  17-22     Citation Subset:  IM    
Copyright Information:
Copyright 2002 Harcourt Publishers Limited.
Affiliation:
Department of Clinical Neurophysiology, Martini Ziekenhuis Groningen, P.O. 30033, Groningen, 9700 RM Groningen, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Blood Flow Velocity
Blood Pressure
Cerebrovascular Circulation
Cerebrovascular Disorders / etiology*,  physiopathology,  therapy,  ultrasonography
Endarterectomy, Carotid / adverse effects*
Female
Humans
Hypertension / drug therapy,  etiology
Male
Middle Aged
Monitoring, Physiologic
Syndrome
Ultrasonography, Doppler, Transcranial*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Prosthetic patch infection after carotid endarterectomy.
Next Document:  Prevention of experimental myointimal hyperplasia by immunomodulation.