Cerebral vasoconstriction after carotid endarterectomy

• Tipo: Artigo em Revista Científica Internacional
• Data: 2018

Autores

Fitas, D (Autor) Outra; Carvalho, M (Autor) Outra; Castro, P (Autor) Outra; Pedro Abreu (Autor) FMUP; Moreira, G (Autor) Outra; Santos, R (Autor) Outra; Elsa Azevedo (Autor) FMUP

Revista

Título: Practical Neurology

Vol. 18

Páginas: 378-381

ISSN: 1474-7758

Editora: BMJ PUBLISHING GROUP

Indexação

Scopus - 3 Citações

Outras Informações

ID Authenticus: P-00S-FFQ

DOI: 10.1136/practneurol-2017-001871

Abstract (EN): Carotid endarterectomy carries the risk of several complications. We report a 55-year-old woman with recurrent cerebral vasoconstriction postoperatively. She had bilateral high-grade internal carotid artery stenosis and underwent right endarterectomy because of transient left-sided sensory symptoms. She developed a reperfusion syndrome with severe right-sided headache, right frontotemporal oedema and increased velocities in transcranial Doppler ultrasound. Given her gradual increase of velocities and Lindegaard index, together with fixed left sensory and motor deficits, we performed CT angiography, which suggested cerebral vasoconstriction syndrome. A subsequent left carotid endarterectomy triggered a similar cerebrovascular response. We highlight the need for continuous monitoring of cerebral haemodynamics following carotid endarterectomy.

Idioma: Inglês

Tipo (Avaliação Docente): Científica