[Neurological deterioration due to cerebral hyperperfusion following carotid endarterectomy. Case report].
Recently attention has been drawn to postoperative cerebral hyperperfusion after carotid endarterectomy (CEA) associated with a preoperative state of impaired cerebral hemodynamics. Rarely postoperative neurological deficits are caused by cerebral edema due to hyperperfusion. The patient was a 65-year-old male with dysarthria and right hemiparesis. Because of the presence of severe stenosis of the left carotid artery, CEA was performed. On the 6th postoperative day, he developed severe right hemiparesis and aphasia due to cerebral edema in the subcortical region of the left cerebral hemisphere. Left carotid angiography showed normal circulation without evidence of the carotid stenosis. Later the cerebral edema and the neurological deficits gradually disappeared.
Yoshimoto
T
T
Department of Neurosurgery, Nikkou Memorial Hospital, Hokkaido.
Itou
T
T
Takikawa
S
S
Horiuchi
N
N
D000368:Aged; D001037:Aphasia / Q000209:etiology*; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery; D001929:Brain Edema / Q000150:complications; D002340:Carotid Artery Diseases / Q000150:complications / Q000601:surgery; D002560:Cerebrovascular Circulation; D004401:Dysarthria / Q000209:etiology*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D008297:Male