Document Detail

Three cases of hyperperfusion syndrome identified by daily transcranial Doppler investigation after carotid surgery.
MedLine Citation:
PMID:  11748943     Owner:  NLM     Status:  MEDLINE    
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.
A Schaafsma; L v d Veen; J P M Vos
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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:  2014-07-28    
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.
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MeSH Terms
Blood Flow Velocity
Blood Pressure
Cerebrovascular Circulation
Cerebrovascular Disorders / etiology*,  physiopathology,  therapy,  ultrasonography
Endarterectomy, Carotid / adverse effects*
Hypertension / drug therapy,  etiology
Middle Aged
Monitoring, Physiologic
Ultrasonography, Doppler, Transcranial*

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