Cerebral Hyperperfusion Syndrome After Intracranial Stenting: Case Report and Systematic Review

Overview

Journal Interv Neuroradiol

Publisher Sage Publications

Specialty Neurology

Date 2021 Apr 22

PMID 33884930

Citations 4

Authors

Francesco Diana

Giulia Frauenfelder

Annibale Botto

Renato Saponiero

Daniele Giuseppe Romano

Affiliations

Soon will be listed here.

Abstract

Background: Cerebral Hyperperfusion Syndrome (CHS) is an uncommon complication observed after intracranial angioplasty or stenting procedures. Given to the increasing use of new devices for intracranial angioplasty and stenting (INCS), in selected patients with high ischemic stroke risk, an equally increasing knowledge of complications related to these procedures is mandatory. a 63-year-old man was diagnosed with an hyperperfusion syndrome after percutaneous angioplasty and stenting for severe symptomatic right internal carotid artery (ICA) siphon stenosis. After treatment he complained generalized seizures and respiratory failure. While conventional imaging did not demonstrate any acute brain lesions, Pseudo-Continuous Arterial Spin Labeling (PCASL) Perfusion MRI early documented right hemisphere blood flow increase suggestive for CHS.

Conclusions: Monitoring of perfusion changes after INCS could play an important a role in determining patients with high risk of CHS. ASL Perfusion MRI might be used for promptly, early diagnosis of CHS after treatment of severe intracranial artery stenosis.

Citing Articles

Predictors and Outcomes of Periprocedural Intracranial Hemorrhage after Stenting for Symptomatic Intracranial Atherosclerotic Stenosis.

Kang K, Gong P, Gao F, Mo D, Zhao X, Miao Z AJNR Am J Neuroradiol. 2024; 45(11):1716-1722.

PMID: 39389777 PMC: 11543066. DOI: 10.3174/ajnr.A8379.

Application of Balloon AngioplaSty with the dIstal protection of Stent Retriever (BASIS) technique for acute intracranial artery atherosclerosis-related occlusion.

Yi T, Wu Y, Lin D, Pan Z, Zheng X, Gan J Front Neurol. 2022; 13:1049543.

PMID: 36523347 PMC: 9747328. DOI: 10.3389/fneur.2022.1049543.

Nontraumatic convexal subarachnoid hemorrhage: A case report.

Chen H, Li B, Chen C, Fan X, Ma W World J Clin Cases. 2022; 10(18):6205-6210.

PMID: 35949823 PMC: 9254175. DOI: 10.12998/wjcc.v10.i18.6205.

Cone-beam CT angiography to assess the microvascular anatomy of intracranial arterial dissections.

Diana F, Raz E, Biraschi F, Romano D, Toccaceli G, Shapiro M Neuroradiol J. 2021; 35(4):527-532.

PMID: 34590889 PMC: 9437491. DOI: 10.1177/19714009211049089.

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