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Isikbay M, Narsinh KH, Arroyo S, et al. Computed tomography perfusion abnormalities after carotid endarterectomy help in the diagnosis of reversible cerebral vasoconstriction syndrome. J Vasc Surg Cases Innov Tech. 2020;7(1):171-175doi: 10.1016/j.jvscit.2020.10.010.
Isikbay, M., Narsinh, K. H., Arroyo, S., Smith, W. S., Cooke, D. L., Higashida, R. T., & Amans, M. R. (2021). Computed tomography perfusion abnormalities after carotid endarterectomy help in the diagnosis of reversible cerebral vasoconstriction syndrome. Journal of vascular surgery cases and innovative techniques, 7(1), 171-175. https://doi.org/10.1016/j.jvscit.2020.10.010
Isikbay, Masis, et al. "Computed tomography perfusion abnormalities after carotid endarterectomy help in the diagnosis of reversible cerebral vasoconstriction syndrome." Journal of vascular surgery cases and innovative techniques vol. 7,1 (2021): 171-175. doi: https://doi.org/10.1016/j.jvscit.2020.10.010
Isikbay M, Narsinh KH, Arroyo S, Smith WS, Cooke DL, Higashida RT, Amans MR. Computed tomography perfusion abnormalities after carotid endarterectomy help in the diagnosis of reversible cerebral vasoconstriction syndrome. J Vasc Surg Cases Innov Tech. 2020 Oct 27;7(1):171-175. doi: 10.1016/j.jvscit.2020.10.010. eCollection 2021 Mar. PMID: 33748556; PMCID: PMC7973125.
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J Vasc Surg Cases Innov Tech. 2020 Oct 27;7(1):171-175. doi: 10.1016/j.jvscit.2020.10.010. eCollection 2021 Mar.

Computed tomography perfusion abnormalities after carotid endarterectomy help in the diagnosis of reversible cerebral vasoconstriction syndrome.

Journal of vascular surgery cases and innovative techniques

Masis Isikbay, Kazim H Narsinh, Sergio Arroyo, Wade S Smith, Daniel L Cooke, Randall T Higashida, Matthew R Amans

Affiliations

  1. Department of Radiology and Biomedical Imaging, University of California, San Francisco, School of Medicine, San Francisco, Calif.
  2. Department of Neurology, University of California, San Francisco, School of Medicine, San Francisco, Calif.

PMID: 33748556 PMCID: PMC7973125 DOI: 10.1016/j.jvscit.2020.10.010

Abstract

Acute neurologic deficits in the postoperative period after carotid endarterectomy (CEA) can prompt extensive diagnostic evaluation. Reversible cerebral vasoconstriction syndrome (RCVS) is an underrecognized cause of acute neurologic deficit after CEA. We present the case of RCVS in an 84-year-old male patient who had experienced left limb weakness after CEA, prompting multiple code stroke activations. The present case is novel because the obtained computed tomography perfusion imaging studies demonstrated abnormalities that have not been previously described in patients with RCVS. These findings, combined with the cerebral angiography findings, led to the rapid diagnosis and delivery of intra-arterial vasodilator therapy. He experienced subsequent resolution of his symptoms and radiologic abnormalities.

© 2020 The Author(s).

Keywords: CT perfusion; Carotid endarterectomy; Neurological deficits; Reversible cerebral vasoconstriction syndrome; Surgical complications

References

  1. World Neurosurg. 2020 Feb;134:423-426 - PubMed
  2. J Vasc Surg. 2016 Dec;64(6):1847-1850 - PubMed
  3. J Neurol Neurosurg Psychiatry. 2012 May;83(5):543-50 - PubMed
  4. J Neurosurg. 2004 Sep;101(3):445-8 - PubMed
  5. Cephalalgia. 2003 Apr;23(3):218-22 - PubMed
  6. Stroke. 2015 Oct;46(10):2843-8 - PubMed
  7. J Vasc Surg. 1999 Aug;30(2):245-51 - PubMed
  8. Eur J Vasc Endovasc Surg. 2018 Sep;56(3):322-333 - PubMed
  9. EJVES Short Rep. 2017 Nov 03;37:12-13 - PubMed
  10. Eur J Vasc Endovasc Surg. 2014 Nov;48(5):498-504 - PubMed

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