脑血管支架成形术后脑高灌注综合征

发布时间：2018-01-08 15:07

本文关键词：脑血管支架成形术后脑高灌注综合征　出处：《中国卒中杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的探讨脑动脉支架成形术后高灌注综合征(cerebral hyperperfusion syndrome,CHS)的发病机制及临床表现。方法回顾性分析中国人民解放军第306医院4例脑动脉狭窄支架成形术后发生CHS患者的临床资料。结果本组4例CHS中男性3例,女性1例,年龄43~77岁。2例行颈动脉狭窄支架成形术(carotid artery stenting,CAS),1例行CAS及椎动脉支架置入术,1例行基底动脉狭窄支架成形术。发生CHS症状时间在术后1 h~3 d。症状为头痛3例,右侧肢体偏瘫1例,视物不清1例,意识障碍1例,头计算机断层扫描(computed tomography,CT)提示脑实质出血2例,蛛网膜下腔出血1例,脑水肿1例。经降压、脱水等治疗后,3例均恢复良好,1例死亡。结论脑动脉支架成形术后CHS是一种少见及严重的疾病,需提高认识,尽早诊断,尽早治疗。
[Abstract]:Objective to investigate cerebral hyperperfusion syndrome of hyperperfusion syndrome after cerebral artery stenting. CHS). Methods the clinical data of 4 patients with CHS after stenting of cerebral artery stenosis in 306 Chinese PLA hospital were retrospectively analyzed. Results in 4 cases of CHS, male 3. ... One female, aged 43 to 77 years, underwent carotid artery stenting (CAS). One patient underwent CAS and vertebral artery stenting and one underwent basilar artery stenosis stenting. The onset of CHS symptoms occurred 1 hour and 3 days after operation. The symptoms were headache in 3 cases and hemiplegia in right extremity in 1 case. There were 1 case of unclear vision, 1 case of consciousness disorder, 2 cases of intracerebral hemorrhage and 1 case of subarachnoid hemorrhage. 1 case of cerebral edema. 3 cases recovered well and 1 case died after hypotension and dehydration. Conclusion CHS after cerebral artery stenting is a rare and serious disease, which needs to be recognized and diagnosed as soon as possible. Early treatment.
【作者单位】：中国人民解放军第306医院神经内科;
【分类号】：R743.3
【正文快照】： 支架成形术治疗脑动脉狭窄已被证实可改善颅内动脉供血状态,降低卒中的发生率[1]。经皮脑血管支架置入术后并发症的报道多为血管内再狭窄、栓塞、血管闭塞,关于高灌注综合征(cerebral hyperperfusion syndrome,CHS) 的报道较少[2]。CHS临床主要表现为头痛、血压升高、癫痫发

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