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J Korean Neurol Assoc. 2003 Aug;21(4):412-414. Korean. Case Report.
Cho SJ , Minn YK , Kwon KH , Cho T , Kim SH .
Department of Neurology, Hallym University College of Medicine, Korea.
Department of Neurosurgery, Sejong General Hospital, Korea.
Department of Family Medicine, Young Dong Severance Hospital, Korea.

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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