Korean J Cerebrovasc Dis.  2002 Mar;4(1):58-62.

Intracerebral Hematoma after Reperfusion Procedures in Cerebral Ischemia

• Rha HK
• Lee KJ
• Kim SL
• Joo WI
• Park HK
• Jo JK
• Kim DS
• Kim MC
• Choi CR

Abstract

Intracerebral hematoma (ICH) after reperfusion procedure in cerebral ischemia is a rare but serious complication. The authors present 4 cases with ICH after reperfusion procedures in cerebral ischemia. First case is ICH after superficial temporal artery-middle cerebral artery anastomosis in moyamoya patient, second case is ICH after graft bypass usuing saphenous vein in traumatic carotid artery injury patient, third case is ICH after intra-arterial urokinase therapy in acute internal carotid artery occlusion and forth case is ICH after temporary clipping to the middle cerebral artery in middle cerebral artery aneurysm surgery. Defective cerebrovascular autoregulation in ischemic brain regions may predispose patients to ICH after reperfusion procedure in cerebral ischemia. The authors suggest reperfusion procedure in ischemia must be executed prudently because of possibility of reperfusion injury including ICH.

Keyword

Reperfusion procedure; Cerebral ischemia; Reperfusion injury; Bypass; Defective autoregulation

MeSH Terms

Brain
Brain Ischemia*
Carotid Artery Injuries
Carotid Artery, Internal
Cerebral Arteries
Hematoma*
Homeostasis
Humans
Intracranial Aneurysm
Ischemia
Middle Cerebral Artery
Reperfusion Injury
Reperfusion*
Saphenous Vein
Transplants
Urokinase-Type Plasminogen Activator
Urokinase-Type Plasminogen Activator