[Focal seizure status caused by a cerebral hyperperfusion syndrome after carotid endarterectomy].
The cerebral hyperperfusion syndrome is a rare complication after revascularisation procedures of the carotid artery. It is typically presenting hours to few days after the intervention with headache, seizures and/or neurological focal symptoms. Severe complications include brain oedema or intracranial haemorrhage. We present a 74-year-old female patient who developed a cerebral hyperperfusion syndrome presenting with a status of focal motor seizures of her left arm after carotid endarterectomy of an 80 % clinically asymptomatic stenosis with a coexisting contralateral 80 % asymptomatic stenosis of the internal carotid artery.
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N
Webering
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R
Weber
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P
Berlit
D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D016893:Carotid Stenosis / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000188:drug therapy / Q000209:etiology*; D004569:Electroencephalography; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D004828:Epilepsies, Partial / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000188:drug therapy / Q000503:physiopathology*
D000927:Anticonvulsants