Cerebral hyperperfusion syndrome (CHPS) is a rare
disease with complications of carotid artery revascularization. Acute retinal
hemorrhage is a very rare entity that has been previously described as a manifestation
of CHPS followed by the carotid artery stenting (CAS), but to the best of our
knowledge, not yet described as a complication of carotid surgery. An Ascending
Aorta to bilateral Carotid bypass was performed in a 35 years old woman with
active Takayasu arteritis and 95% symptomatic stenosis of both common carotid
arteries. Severe retinal hemorrhage appeared on the second post operative day
combined with high blood pressure, brain edema on CT scan and grand mal
seizures. It seems that fundoscopic examination followed by the carotid
revascularization of tightness can be helpful in identifying those patients
who develop symptoms suggesting of CHPS.
Cite this paper
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