Kuroki Kazuhiko, Taguchi Haruyoshi, Yukawa Osamu
Department of Neurosurgery, Hiroshima General Hospital, Japan.
Neurol Med Chir (Tokyo). 2006 May;46(5):248-50. doi: 10.2176/nmc.46.248.
A 41-year-old man developed hyperperfusion 24 hours after undergoing successful clipping surgery for an unruptured middle cerebral artery aneurysm with temporary occlusion for 7 minutes. The patient exhibited motor aphasia 24 hours after surgery. Single photon emission computed tomography revealed hyperperfusion. The patient was sedated for 72 hours using propofol, and his symptoms gradually resolved. He returned to his previous job 2 months after surgery. Hyperperfusion syndrome is possible following any aneurysm surgery, including surgery for unruptured aneurysms using the temporary occlusion technique.
一名41岁男性在成功夹闭未破裂大脑中动脉动脉瘤并临时阻断7分钟后24小时出现灌注过度。患者术后24小时出现运动性失语。单光子发射计算机断层扫描显示灌注过度。使用丙泊酚使患者镇静72小时，其症状逐渐缓解。术后2个月他恢复了之前的工作。任何动脉瘤手术，包括使用临时阻断技术进行的未破裂动脉瘤手术，都有可能发生灌注过度综合征。
