Presentation
Elderly patient ~6 hours following right carotid endarterectomy developed left-sided weakness.
Patient Data
Age: Elderly
Gender: Male
From the case:
Cerebral hyperperfusion syndrome
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The right hemisphere demonstrates swollen hyperdense cortex with positive mass effect. No hemorrhage.
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CT scan obtained 12 hours later demonstrates reduced swelling and mass-effect.
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Repeat CT 36 hours later demonstrates almost complete resolution of findings with no evidence of an underlying stroke.
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Yet another repeat study on the third day following carotid endarterectomy demonstrates continued resolution, with at most only minor residual swelling of the right temporal lobe.
Case Discussion
Cerebral hyperperfusion syndrome is are rare complication of carotid endarterectomy.
The patient made an uneventful recovery.
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