Keywords

carotid artery revascularization, carotid artery stenting, carotid endarterectomy, cerebral hyperperfusion syndrome, Doppler ultrasound, intracerebral hemorrhage

 

Authors

  1. Vacca, Vincent M. Jr. MSN, RN, CCRN, SCRN
  2. Thomas, Sarah Beth MSN, RN, CCRN

Abstract

Abstract: Cerebral hyperperfusion syndrome (CHS) is a complication that follows carotid artery revascularization by either carotid endarterectomy or carotid artery stenting. CHS typically presents with a triad of signs and symptoms including throbbing headache; focal neurologic deficits such as unilateral paresis, visual disturbance, or dysarthria; and seizures. Because CHS can result in significant morbidity and mortality, anticipation, early recognition, and aggressive management are essential to prevent disastrous complications such as intracerebral hemorrhage.1