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Luxury Perfusion

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Encyclopedia of Clinical Neuropsychology

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Definition

Luxury perfusion is a misnomer used to describe the dilation of numerous vascular channels observed within in the relatively avascular infarcted area of the brain 24–48 h after an ischemic stroke. These are predominantly venous channels, but arterial channels open up as well.

At surgery, the infarcted area thus appears to contain an increase in the number of blood vessels. These are not actually functioning to supply the infarcted brain; however, so do not represent true “perfusion.”

On a contrasted CT scan, this phenomenon is perceived as an area of enhancement (increased density or whiteness) at the margin of the infarct. This is visible 1 day to several days after a stroke.

The term luxury perfusion may also refer to a hyperperfusion syndrome occurring in 0.2% of patients undergoing cerebral endarterectomy. This condition is characterized by ipsilateral headaches, hypertension, seizures, and focal neurologic deficits. The mechanism of “luxury perfusion syndrome” is a...

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References and Readings

  • Dafer, R. M. (2006). Risk estimates of stroke after coronary artery bypass graft and carotid endarterectomy. Neurologic Clinics, 24(4), 795–806.

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  • Mettler, F. A. (2005). Mettler: Essentials of radiology(2nd ed.). Philadelphia: Saunders.

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Authors and Affiliations

  1. University of Colorado Health Sciences Center Department of Physical Medicine an, Denver Health Medical Center, 777 Bannock Street #0113, 80204, Denver, CO, USA

    Susan Ladley-O’Brien

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  1. Susan Ladley-O’Brien
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Editors and Affiliations

  1. Physical Medicine and Rehabilitation, and Professor of Neurosurgery, and Psychiatry Virginia Commonwealth University – Medical Center Department of Physical Medicine and Rehabilitation, VCU, 980542, Richmond, Virginia, 23298-0542, USA

    Jeffrey S. Kreutzer

  2. Kessler Foundation Research Center, 1199 Pleasant Valley Way, West Orange, NJ, 07052, USA

    John DeLuca

  3. Professor of Physical Medicine and Rehabilitation, and Neurology and Neuroscience, University of Medicine and Dentistry of New Jersey – New Jersey Medical School, New Jersey, USA

    John DeLuca

  4. Independent Practice, 564 M.O.B. East, 100 E. Lancaster Ave., Wynnewood, PA, 19096, USA

    Bruce Caplan

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© 2011 Springer Science+Business Media, LLC

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Ladley-O’Brien, S. (2011). Luxury Perfusion. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_46

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  • DOI: https://doi.org/10.1007/978-0-387-79948-3_46

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-79947-6

  • Online ISBN: 978-0-387-79948-3

  • eBook Packages: Behavioral Science

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