Luxury Perfusion Syndrome Confirmed by Sequential Studies of Regional Cerebral Blood Flow and Volume after Extracranial to Intracranial Bypass Surgery: Case Report
作者:
Sotaro Higashi,
Hiroshi Matsuda,
Hiroyuki Fujii,
Haruhide Ito,
Junkoh Yamashita,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 25,
issue 1
页码: 85-89
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Cerebral blood flow;Cerebral blood volume;Cerebral ischemia;Extracranial to intracranial bypass surgery;Luxury perfusion syndrome
数据来源: OVID
摘要:
&NA;We report a case of luxury perfusion syndrome with temporary neurological deterioration after extracranial to intracranial bypass surgery. A preoperative computed tomographic scan showed no detectable infarct, and the measurement of regional cerebral blood flow showed severe depression of ipsilateral hemispheric perfusion. The patient developed temporary neurological deterioration after bypass surgery, with no recognizable pathological signs on postoperative computed tomographic and angiographic studies. Regional cerebral blood flow and volume were more elevated during the period of neurological deterioration than after the subsequent recovery. This strongly suggests that excessive blood flow directed into chronically ischemic brain through a graft may induce a luxury perfusion syndrome resulting in neurological deterioration. (Neurosurgery25:85‐89, 1989)
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