This Article Full Text Full Text (PDF) All Versions of this Article: 37/1/e12    most recent 01.STR.0000196959.77184.49v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Rezende, M. T. Articles by Moret, J. Search for Related Content PubMed PubMed Citation Articles by Rezende, M. T. Articles by Moret, J. Related Collections Acute Cerebral Hemorrhage Angiography Angioplasty and Stenting

(Stroke. 2006;37:e12.)
© 2006 American Heart Association, Inc.

Case Reports

Hyperperfusion Syndrome After Stenting for Intracranial Vertebral Stenosis

Marco Túlio Rezende, MD; Laurent Spelle, MD, PhD; Charbel Mounayer, MD; Michel Piotin, MD; Daniel Giansante Abud, MD Jacques Moret, MD

From the Department of Interventional Neuroradiology, Fondation Rothschild, Paris, France.

Reprint requests to Laurent Spelle, MD, PhD, Interventional Neuroradiology Department, Fondation Rothschild Hospital, 25 rue Manin 75940 Paris Cedex 19 –France. E-mail lspelle{at}fo-rothschild.fr

Abstract

Background and Purpose— Hyperperfusion syndrome is a rare but well-described complication after endarterectomy or stenting in the carotid circulation.

Summary of Case— A 66-year-old man who had vertebrobasilar insufficiency refractory to medical treatment because of an intracranial right side vertebral stenosis was referred to our institution for endovascular treatment. Stenting was performed, and after 24 hours, he became extremely agitated, and this was followed by a period of apathy without focal neurological deficits. MRI showed bilateral thalamic hemorrhage.

Conclusion— To our knowledge, this is the first report of hyperperfusion syndrome with hemorrhagic presentation after intracranial vertebral artery stenting.

Key Words: angioplasty • intracranial atherosclersosis • intracranial hemorrhage • reperfusion injury

This article has been cited by other articles:

				H. C. Schumacher, P. M. Meyers, R. T. Higashida, C. P. Derdeyn, S. D. Lavine, G. M. Nesbit, D. Sacks, P. Rasmussen, and L. R. Wechsler Reporting Standards for Angioplasty and Stent-Assisted Angioplasty for Intracranial Atherosclerosis Stroke, May 1, 2009; 40(5): e348 - e365. [Abstract] [Full Text] [PDF]

				P. M. Meyers, C. C. Phatouros, and R. T. Higashida Hyperperfusion Syndrome After Intracranial Angioplasty and Stent Placement Stroke, September 1, 2006; 37(9): 2210 - 2211. [Full Text] [PDF]