J Korean Neurol Assoc.
2003 Aug;21(4):412-414.
Hyperperfusion Syndrome after Evacuation of Chronic Subdural Hematoma
- Affiliations
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- 1Department of Neurology, Hallym University College of Medicine, Korea. dowonc@naver.com
- 2Department of Neurosurgery, Sejong General Hospital, Korea.
- 3Department of Family Medicine, Young Dong Severance Hospital, Korea.
Abstract
- Hyperperfusion syndrome (HS) is characterized by unilateral headache, seizures, and hypertension and may result in intracerebral hemorrhage. HS is a serious complication following carotid endarterectomy or angioplasty, but it is rarely reported after evacuation of chronic subdural hematoma (CSH). A 75-year-old man developed headache, seizure, and hemiparesis after evacuation of CSH. HS is diagnosed by a postoperative transcranial Doppler. His symptoms subsided with anti-hypertensive medications. Early recognition of this syndrome may be important in reducing postoperative morbidity of CSH.
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