颈动脉手术后经每日经颅多普勒检查确诊的3例高灌注综合征病例。
Three cases of hyperperfusion syndrome identified by daily transcranial Doppler investigation after carotid surgery.
作者信息
Schaafsma A, Veen L v d, Vos J P M
机构信息
Department of Clinical Neurophysiology, Martini Ziekenhuis Groningen, P.O. 30033, Groningen, 9700 RM Groningen, The Netherlands.
出版信息
Eur J Vasc Endovasc Surg. 2002 Jan;23(1):17-22. doi: 10.1053/ejvs.2001.1545.
BACKGROUND
cerebral hyperperfusion syndrome (HS), occurs in 0.5-1% of patients undergoing carotid endarterectomy (CEA), and may result in intracerebral haemorrhage and death.
AIM
to diagnose HS by means of postoperative Transcranial Doppler (TCD).
METHODS
between 1998 and 2001 nearly all 112 patients who underwent CEA were monitored for four days postoperatively by Transcranial Doppler.
RESULTS
there were 3 patients with HS. All three showed TCD abnormalities hours before developing symptoms. One patient developed a full blown HS. Presumably, symptoms in the other two patients could be prevented by timely starting or restoring anti-hypertensive treatment.
CONCLUSION
daily TCD investigation in all patients undergoing CEA seems an effective strategy for the presymptomatic detection of HS.
背景
脑过度灌注综合征（HS）发生于0.5% - 1%接受颈动脉内膜切除术（CEA）的患者中，可能导致脑出血和死亡。
目的
通过术后经颅多普勒（TCD）诊断HS。
方法
在1998年至2001年期间，几乎所有112例接受CEA的患者术后均通过经颅多普勒监测了四天。
结果
有3例HS患者。所有三例在出现症状前数小时均显示TCD异常。1例患者发生了典型的HS。据推测，及时开始或恢复抗高血压治疗可预防另外两名患者出现症状。
结论
对所有接受CEA的患者进行每日TCD检查似乎是对HS进行症状前检测的有效策略。
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