Clinical Physiology of Circulation

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


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

Received / Accepted:  26.02.2021 / 01.03.2021

Full text:  

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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  3. Abou-Chebl A., Yadav J.S., Reginelli J.P., Bajzer C., Bhatt D., Krieger D.W. Intracranial haemorrhage and hyperperfusion syndrome following carotid artery stenting. J. Am. Coll. Cardiol. 2004; 43 (9): 1596–601. DOI: 10.1016/j.jacc.2003.12.039
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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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  26. Henderson R.D., Phan T.G., Piepgras D.G., Wijdicks E.F. Mechanisms of intracerebral hemorrhage after carotid endarterectomy. J. Neurosurg. 2001; 95 (6): 964–9. DOI: 10.3171/jns.2001.95.6.0964
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  30. Liang F., Fukasaku K., Liu H., Takagi Sh. A computational model study of the influence of the anatomy of the circle of Willis on cerebral hyperperfusion following carotid artery surgery. Biomed. Eng. Online. 2011; 10: 84. DOI: 10.1186/1475-925X-10-84
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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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