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Revista Ecuatoriana de Neurología
On-line version ISSN 2631-2581Print version ISSN 1019-8113
Abstract
ESPINOSA-RUEDA, Judith; HERNANDEZ-RODRIGUEZ, Christian and TEJADA-MEZA, Herbert. Hemorrhage On A Dependent Area Of Posterior Cerebral Circulation Due To Hyperperfusion Syndrome After Stenting In Internal Carotid Artery. Rev Ecuat Neurol [online]. 2023, vol.32, n.1, pp.75-77. ISSN 2631-2581. https://doi.org/10.46997/revecuatneurol32100075.
Cerebral hyperperfusion syndrome (CHS) after stent placement has a low incidence, between 0.37- 1.9% (1)(2). We present a case of CHS due to recanalization in right internal carotid artery (ICA) which, contrary to expectations, produces a hematoma on a dependent area of the posterior cerebral circulation. Through the clinical case, we proceed to delve into the CHS and the characteristics that give the patient a higher risk. In addition, we expose the potential usefulness of the neurosonological study of inter-individual variability for better perioperative management. In this way, we can ensure a good therapeutic approach that minimizes morbidity and mortality as much as possible.
Keywords : Intracerebral hemorrhage; Neuroradiology; Cerebral hyperperfusion syndrome; Stent; Thalamus..