[Cerebral hyperperfusion syndrome and blood pressure control]

Orv Hetil. 2015 Jun 28;156(26):1049-53. doi: 10.1556/650.2015.30174.
[Article in Hungarian]

Abstract

Introduction: Cerebral hyperperfusion syndrome is a rare, hardly known condition, which can result in serious complications either after surgical or endovascular revascularization. Recognition of the typical triad (headache, seizure, focal neurological deficit) and the prompt radiological diagnosis (sonography, computed tomography) are crucial to achieve a favourable outcome.

Aim: The aim of the authors was to select the endangered group and set up an effective therapeutic protocol based their own experience in combination with relevant literature data.

Method: From the beginning of 2010 up to now three cases with these symptoms pursuant to the criteria of cerebral hyperperfusion syndrome have been recognized by the authors.

Results: Each of the three patients were treated by similar principles on intensive care unit, but the applied therapy resulted in complete remission in one patient only.

Conclusions: At present there is no efficient diagnostic way to screen the endangered group, hence the only opportunity for prevention is the appropriate perioperative blood pressure control. If symptoms have developed already, urgent treatment is required.

Keywords: carotis; hyperperfusio; hyperperfusion; hypertension; hypertonia; stroke.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antihypertensive Agents / therapeutic use*
  • Blood Pressure Determination
  • Blood Pressure*
  • Cerebrovascular Circulation* / drug effects
  • Critical Care / methods*
  • Fatal Outcome
  • Headache / etiology
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / etiology
  • Hypertension / physiopathology
  • Ischemic Attack, Transient / physiopathology*
  • Postoperative Complications / physiopathology
  • Postoperative Complications / therapy
  • Retrospective Studies
  • Seizures / etiology
  • Stroke / etiology
  • Stroke / physiopathology*
  • Syndrome
  • Treatment Outcome

Substances

  • Antihypertensive Agents