Hyperperfusion Syndrome after Evacuation of Chronic Subdural Hematoma

J Korean Neurol Assoc > Volume 21(4); 2003 > Article

Journal of the Korean Neurological Association 2003;21(4): 412-414.

만성 경막하혈종 배액술 후에 발생한 과관류 증후군

조수진 , 민양기 권기한 조태구* 김상환†

한림대학교 의과대학 신경과학교실, 부천세종병원 신경외과학교실*, 영동세브란스병원 가정의학교실†

Hyperperfusion Syndrome after Evacuation of Chronic Subdural Hematoma

Soo-Jin Cho

"Department of Neurology, Hallym University College of Medicine, Department of Neurosurgery, Sejong General Hospital* Department of Family Medicine, Young Dong Severance Hospital†"

Abstract

"Hyperperfusion syndrome (HS) is characterized by unilateral headache, seizures, and hypertension and may result in intracerebral hemorrhage. HS is a serious complication following carotid endarterectomy or angioplasty, but it is rarely reported after evacuation of chronic subdural hematoma (CSH). A 75-year-old man developed headache, seizure, and hemiparesis after evacuation of CSH. HS is diagnosed by a postoperative transcranial Doppler. His symptoms subsided with anti-hypertensive medications. Early recognition of this syndrome may be important in reducing postoperative morbidity of CSH. Key Words: Hyperperfusion syndrome, Hematoma/Subdural , Seizures"