Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2021; 18 (2): 93-180 ➤ Церебральный гиперперфузионный синдром: проблема разграничения близких синдромов, вероятные механизмы развития, клинические проявления и факторы риска

Cerebral hyperperfusion syndrome: the problem of distinguishing between similar syndromes, probable mechanisms of development, clinical manifestations and risk factors

Authors: Emets E.V., Shumilina M.V.

Company:
1 Institute of Training of Highly Qualified Personnel and Professional Education of the Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation
2 Voronezh Regional Clinical Hospital No. 1, Voronezh, 394066, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2021-18-2-118-127

UDC: 616.831-005

Link: Clinical Physiology of Blood Circulaiton. 2021; 2 (18): 118-127

Quote as: Emets E.V., Shumilina M.V. Cerebral hyperperfusion syndrome: the problem of distinguishing between similar syndromes, probable mechanisms of development, clinical manifestations and risk factors. Clinical Physiology of Circulation. 2021; 18 (2): 118–27 (in Russ.). DOI: 10.24022/1814-6910-2021-18-2-118-127

Keywords:  cerebral hyperperfusion syndrome disorders of venous outflow arteriovenous balance

Received / Accepted:  26.02.2021 / 01.03.2021

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Abstract

The review is devoted to the generalization of modern data on cerebral hyperperfusion syndrome (CHS). CHS is similar to the luxury perfusion syndrome, hypertensive encephalopathy, posterior reversible encephalopathy syndrome and reversible cerebral vasoconstriction syndrome. The problem of distinguishing CHS and related syndromes is considered. The probable mechanisms of the CHS development after revascularization of carotid and other arteries are discussed: 1) increased cerebral blood flow; 2) violation of cerebral autoregulation; 3) damage to the cerebral vessels by free radicals; 4) destruction of the reflex mechanism of the baroreceptor; 5) the connection of CHS with the trigeminovascular reflex; 6) the connection of CHS with the cerebral arteriovenous imbalance. The importance of studying arteriovenous imbalance as a mechanism of the CHS development is emphasized. The risk factors of the CHS development after carotid endarterectomy and stenting of the carotid arteries are considered.

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****
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  21. Calabrese L.H., Dodick D.W., Schwedt T.J., Singhal A.B. Narrative review: reversible cerebral vasoconstriction syndromes. Ann. Intern. Med. 2007; 146 (1): 34–44. DOI: 10.7326/0003-4819-146-1-200701020-00007
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About Authors

  • Ekaterina V. Emets, Functional Diagnostician; ORCID
  • Margarita V. Shumilina, Dr. Med. Sc., Professor of Chair of Cardiology and Functional Diagnostics, Head of Group of Ultrasound Studies of Cardiovascular and Organ Pathology ORCID

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