Œdème cérébral vasogénique par syndrome de reperfusion post-endartérectomie carotidienne

Translated title of the contribution: Reperfusion syndrome with cerebral vasogenic oedema after carotid artery endarterectomy

S. Aubert, F. Sellal, O. Rouyer, N. Chakfe, C. Marescaux, V. Wolff

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Introduction. Reperfusion (or hyperperfusion) syndrome may be a possible complication of carotid artery endarterectomy or angioplasty. Observation. We report the case of a 54-year-old man who underwent a right carotid endarterectomy for an asymptomatic carotid stenosis and developed reperfusion syndrome a few days after surgery. The symptoms were marked by a prolonged partial epileptic status and then left hemiplegia lasting several days. Brain MRI with Diffusion sequences was normal, whereas there was a right frontoparietal hypersignal in FLAIR sequences, suggesting the presence of brain vasogenic oedema. Clinical and neuroradiological outcomes were good, confirming the relative good prognosis attributed to vasogenic brain oedema in previous similar publications. This condition may be misdiagnosed as cytotoxic brain oedema, another possible complication of carotid endarterectomy, whose management and prognosis are different. Conclusion. When a focal neurological deficit or epileptic seizures follow carotid artery endarterectomy, it is important to consider reperfusion syndrome. MRI (with FLAIR and Diffusion sequences) will show a vasogenic brain oedema, with a better prognosis than what can be expected with cytotoxic oedema.

Translated title of the contributionReperfusion syndrome with cerebral vasogenic oedema after carotid artery endarterectomy
Original languageFrench
Pages (from-to)840-844
Number of pages5
JournalRevue Neurologique
Volume163
Issue number8-9
DOIs
StatePublished - Sep 2007

Keywords

  • Carotid artery stenosis
  • Carotid endarterectomy
  • Hyperperfusion
  • Reperfusion
  • Vasogenic brain oedema

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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