| Three cases of hyperperfusion syndrome identified by daily transcranial Doppler investigation after carotid surgery. | |
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MedLine Citation:
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PMID: 11748943 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A Schaafsma; L v d Veen; J P M Vos |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2001-12-25 Completed Date: 2002-03-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
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Languages: eng Pagination: 17-22 Citation Subset: IM |
Copyright Information:
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Copyright 2002 Harcourt Publishers Limited. |
Affiliation:
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Department of Clinical Neurophysiology, Martini Ziekenhuis Groningen, P.O. 30033, Groningen, 9700 RM Groningen, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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* |
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