Hyperperfusion Syndrome Following Tissue Plasminogen Activator Administration:
A Case Report with Radiological Evidence
- Affiliations
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- 1Department of Radiology, Kangwon National University Hospital, Chuncheon, Korea
- 2Departments of Radiology, College of Medicine, Kangwon National University, Chuncheon, Korea
- 3Departments of Neurology, College of Medicine, Kangwon National University, Chuncheon, Korea
Abstract
- Cerebral hyperperfusion syndrome is a rare complication that can occur following carotid artery revascularization procedures in patients with chronic carotid artery stenosis. Cases of hyperperfusion syndrome resulting solely from intravenous tissue plasminogen activator administration, without a history of revascularization, are extremely rare. Only four of such cases have been reported with imaging evidence. This report presents a case of early neurological deterioration in acute ischemic stroke, identified as a form of hyperperfusion syndrome. Imaging evidence supports this diagnosis, and highlights the occurrence of hyperperfusion syndrome after intravenous tissue plasminogen activator administration.