scholarly journals Cerebral Hyperperfusion Syndrome following the Excision of a Mycotic Aneurysm with Superficial Temporal Artery-to-Middle Cerebral Artery Bypass: Case Report

2014 ◽  
Vol 54 (10) ◽  
pp. 845-850 ◽  
Author(s):  
Hidemichi ITO ◽  
Yuichiro TANAKA ◽  
Taigen SASE ◽  
Masashi UCHIDA ◽  
Yasuyuki YOSHIDA ◽  
...  
Keyword(s):  
Case Report ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Mycotic Aneurysm ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Cerebral Hyperperfusion Syndrome ◽  
Hyperperfusion Syndrome ◽  
Cerebral Hyperperfusion

scholarly journals Long-Lasting Symptomatic Cerebral Hyperperfusion Syndrome following Superficial Temporal Artery-Middle Cerebral Artery Bypass in a Patient with Stenosis of Middle Cerebral Artery

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Shinji Shimato ◽  
Toshihisa Nishizawa ◽  
Takashi Yamanouchi ◽  
Takashi Mamiya ◽  
Kojiro Ishikawa ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Receptor Antagonist ◽  
Cerebral Artery ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Cerebral Hyperperfusion Syndrome ◽  
Speech Disturbance ◽  
Hyperperfusion Syndrome ◽  
Cerebral Hyperperfusion ◽  
Dopamine 2 Receptor

Cerebral hyperperfusion syndrome (CHPS) is a complication that can occur after cerebral revascularization surgeries such as superficial temporal artery- (STA-) middle cerebral artery (MCA) anastomosis, and it can lead to neurological deteriorations. CHPS is usually temporary and disappears within two weeks. The authors present a case in which speech disturbance due to CHPS lasted unexpectedly long and three months was taken for full recovery. A 40-year-old woman, with a history of medication of quetiapine, dopamine 2 receptor antagonist as an antipsychotics for depression, underwent STA-MCA anastomosis for symptomatic left MCA stenosis. On the second day after surgery, the patient exhibited mild speech disturbance which deteriorated into complete motor aphasia and persisted for one month. SPECT showed the increase of cerebral blood flow (CBF) in left cerebrum, verifying the diagnosis of CHPS. Although CBF increase disappeared one month after surgery, speech disturbance continued for additionally two months with a slow improvement. This case represents a rare clinical course of CHPS. The presumable mechanisms of the prolongation of CHPS are discussed, and the medication of quetiapine might be one possible cause by its effect on cerebral vessels as dopamine 2 receptor antagonist, posing the caution against antipsychotics in cerebrovascular surgeries.

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