J Clin Neurol.  2019 Jul;15(3):421-423. 10.3988/jcn.2019.15.3.421.

Delayed Ipsilateral Regional Cortical Injury after Carotid Endarterectomy

Affiliations
  • 1Department of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea. song4yu@gmail.com

Abstract

No abstract available.


MeSH Terms

Endarterectomy, Carotid*

Figure

  • Fig. 1 CTP and brain MRI in a patient with aphasia after left CEA. A: Compared to the preoperative CTP (left panel), CTP on postoperative day 4 (right panel) reveals increased cerebral blood flow in the left hemisphere. B: DWI performed 5 days after left CEA shows diffuse hyperintense lesions along the left hemispheric cortex with a gyral distribution (arrows). C: FLAIR MRI performed 8 months after CEA demonstrates marked atrophy in the left parietotemporal cortex with asymmetric ventricular dilatation. CBF: cerebral blood flow, CEA: carotid endarterectomy, CTP: CT perfusion.


Reference

1. Karapanayiotides T, Meuli R, Devuyst G, Piechowski-Jozwiak B, Dewarrat A, Ruchat P, et al. Postcarotid endarterectomy hyperperfusion or reperfusion syndrome. Stroke. 2005; 36:21–26.
Article
2. Arbelaez A, Castillo M, Mukherji SK. Diffusion-weighted MR imaging of global cerebral anoxia. AJNR Am J Neuroradiol. 1999; 20:999–1007.
3. Siskas N, Lefkopoulos A, Ioannidis I, Charitandi A, Dimitriadis AS. Cortical laminar necrosis in brain infarcts: serial MRI. Neuroradiology. 2003; 45:283–288.
Article
4. Iihara K, Okawa M, Hishikawa T, Yamada N, Fukushima K, Iida H, et al. Slowly progressive neuronal death associated with postischemic hyperperfusion in cortical laminar necrosis after high-flow bypass for a carotid intracavernous aneurysm. J Neurosurg. 2010; 112:1254–1259.
Article
5. Heyer EJ, Sharma R, Rampersad A, Winfree CJ, Mack WJ, Solomon RA, et al. A controlled prospective study of neuropsychological dysfunction following carotid endarterectomy. Arch Neurol. 2002; 59:217–222.
Article
6. Chida K, Ogasawara K, Suga Y, Saito H, Kobayashi M, Yoshida K, et al. Postoperative cortical neural loss associated with cerebral hyperperfusion and cognitive impairment after carotid endarterectomy: 123I-iomazenil SPECT study. Stroke. 2009; 40:448–453.
Article
7. Traystman RJ, Kirsch JR, Koehler RC. Oxygen radical mechanisms of brain injury following ischemia and reperfusion. J Appl Physiol (1985). 1991; 71:1185–1195.
Article
8. Ogasawara K, Yamadate K, Kobayashi M, Endo H, Fukuda T, Yoshida K, et al. Effects of the free radical scavenger, edaravone, on the development of postoperative cognitive impairment in patients undergoing carotid endarterectomy. Surg Neurol. 2005; 64:309–313.
Article
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