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Das Hyperperfusionssyndrom nach TEA der A. carotis interna

Cerebral hyperperfusion syndrome following carotid endarterectomy

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Zusammenfassung

Das Hyperperfusionssyndrom nach Karotis-TEA stellt eine seltene postoperative neurologische Komplikation dar. Charakteristisch sind Kopfschmerzen, neurologische Symptome, Krampfanfälle, intrazerebrale Ödeme oder Blutungen.

Als Risikofaktoren werden eine eingeschränkte intrazerebrale Reservekapazität, bedingt durch eine hochgradige ipsi- und/oder kontralaterale Stenosierung, peri- und postoperativ auftretende hypertone Blutdruckwerte sowie eine vorausgegangene Therapie der Gegenseite angesehen. Wichtigste therapeutische bzw. prophylaktische Maßnahmen sind die antihypertensive Therapie sowie die Behandlung durch eine spezialisierte Intensivmedizinische Einheit.

Abstract

Cerebral hyperperfusion syndrome after carotid endarterectomy is a rare but dramatic neurological complication. Severe headaches, neurological symptoms, cramping and intracranial oedema or haemorrhage seem to be characteristic for this condition.

Restriction of the intracerebral perfusion caused by high-grade ipsi- and/or contralateral stenosis, peri- and postoperative hypertension and earlier contralateral carotid endarterectomy are regarded to be risk factors. The most important aspects of treatment/prophylaxis is controlling the hypertension and treatment in a specialized intensive care stroke unit.

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Authors and Affiliations

  1. Klinik für Gefäß- und Thoraxchirurgie, Ammerland Klinik, Lange Str. 38, 26655, Westerstede, Deutschland

    M. Gerbig & P. Ritter

  2. Klinik für Neurologie, Ammerland Klinik Westerstede, Deutschland

    W. Schölzel

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  1. M. Gerbig
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  2. P. Ritter
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  3. W. Schölzel
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Correspondence to M. Gerbig.

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Gerbig, M., Ritter, P. & Schölzel, W. Das Hyperperfusionssyndrom nach TEA der A. carotis interna. Gefässchirurgie 11, 364–367 (2006). https://doi.org/10.1007/s00772-006-0486-8

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  • DOI: https://doi.org/10.1007/s00772-006-0486-8

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