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Posterior reversible encephalopathy syndrome on computed tomography perfusion in a patient on “triple H” therapy

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Abstract

Introduction: This article reports a case of posterior reversible encephalopathy syndrome on compyted tomography (CT) perfusion in a patient on “Triple H” (hypertension, hypervolemia, and hemodilution) therapy following aneurysmal rupture repair.

Case Report: “Triple H” therapy is used in the postoperative course for treatment of vasospasm to prevent stroke and hemorrhage by maintaining cerebral perfusion pressure.

Discussion: A potential complication includes vasogenic edema from dysfunction of cerebral blood vessel autoregulation. CT perfusion can detect alterations in cerebral blood flow and volume caused by these hemodynamic changes.

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Authors and Affiliations

  1. Department of Neurology, NY Presbyterian Hospital, Weill Medical College of Cornell University, New York

    Igor Ougorets

  2. Boston College, 1440 Commonwealth Avenue, Boston, Massachusetts

    Matthew J. Mifsud

  3. Department of Radiology, NY Presbyterian Hospital, Weill Medical College of Cornell University, 520 East 70th Street, Starr Pavilion 630, 10021, New York, NY

    Pina C. Sanelli MD & Melissa A. Jacobs

Authors
  1. Pina C. Sanelli MD
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  2. Melissa A. Jacobs
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  3. Igor Ougorets
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  4. Matthew J. Mifsud
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Correspondence to Pina C. Sanelli MD.

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Sanelli, P.C., Jacobs, M.A., Ougorets, I. et al. Posterior reversible encephalopathy syndrome on computed tomography perfusion in a patient on “triple H” therapy. Neurocrit Care 3, 46–50 (2005). https://doi.org/10.1385/NCC:3:1:046

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  • DOI: https://doi.org/10.1385/NCC:3:1:046

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