Siroos Bahaadin, Harirchian Mohammad Hossein, Kazemi Khaledi Ali, Ghaffarpour Majid, Golshani Samad
Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran.
Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Stroke Cerebrovasc Dis. 2018 Feb;27(2):e17-e19. doi: 10.1016/j.jstrokecerebrovasdis.2014.12.032. Epub 2017 Oct 6.
Cerebral hyperperfusion syndrome (CHS), known as the dark side of carotid recanalization, happens in about 0%-3% of patients. Unfortunately, physicians involving in carotid recanalization generally are not aware of diagnostic and therapeutic aspects of this unusual but potentially life-threatening disorder. Severe bilateral carotid stenosis is suggested to predispose patients to CHS by decrement of cerebrovascular reactivity in a setting of chronic hypoperfusion state. We here introduced such a case; a 69-year-old man, a known case of hypertension and ischemic heart disease, who developed progressive intracranial hypertension underlying CHS after carotid stenting because of symptomatic severe bilateral carotid stenosis.
脑过度灌注综合征（CHS），即颈动脉再通的不良后果，约0%-3%的患者会出现该症状。遗憾的是，参与颈动脉再通手术的医生通常并不了解这种不常见但可能危及生命的疾病的诊断和治疗方法。严重双侧颈动脉狭窄会导致慢性低灌注状态下脑血管反应性降低，进而使患者易患CHS。我们在此介绍这样一个病例：一名69岁男性，患有高血压和缺血性心脏病，因症状性严重双侧颈动脉狭窄在颈动脉支架置入术后发生了以CHS为基础的进行性颅内高压。
