title: Recurrent cerebral hyperperfusion syndrome after intracranial angioplasty and stenting: case report with review of literature.
abstract: Cerebral hyperperfusion syndrome (CHS) describes a syndrome of sudden onset focal neurological features, unilateral headache, and systemic hypertension. Recurrent CHS in the same patient has not been described to date. We describe a 55-year-old woman who first developed CHS post intracranial stenting with sudden-onset right focal seizures and associated acute focal edema on imaging. After one and half years, the patient developed symptomatic in-stent restenosis and underwent repeat angioplasty with stenting. Postprocedure, the patient had another episode of CHS in the form of acute bleed in the basal ganglia and died. A review of literature of patients for CHS postintracranial angioplasty and stenting also was performed. The present case describes a rare clinical scenario where the patient had recurrent CHS with different clinical and imaging features.
authors.affiliation: Department of Interventional Neuroradiology, Seth G S Medical College and KEM Hospital, Acharya Donde Marg, Parel, Mumbai, 400 012, Maharashtra, India, prabathmondel@gmail.com.
authors.forename: Prabath Kumar
authors.initials: PK
authors.lastname: Mondel
authors.forename: Ashlesha Satish
authors.initials: AS
authors.lastname: Udare
authors.forename: Sunanda V
authors.initials: SV
authors.lastname: Anand
authors.forename: Rashmi S
authors.initials: RS
authors.lastname: Saraf
authors.forename: Uday S
authors.initials: US
authors.lastname: Limaye
mesh_terms: D015901:Angiography, Digital Subtraction; D017130:Angioplasty / Q000009:adverse effects*; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000175:diagnosis / Q000628:therapy*; D002560:Cerebrovascular Circulation; D003952:Diagnostic Imaging; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D012008:Recurrence; D015427:Reperfusion Injury / Q000000981:diagnostic imaging / Q000209:etiology*; D013577:Syndrome