Article Dans Une Revue JMV-Journal de Médecine Vasculaire Année : 2024

Reversible cerebral vasoconstriction syndrome following carotid artery revascularization: About three case reports and review of literature

Résumé

Complication after carotid artery revascularization is mainly represented by stroke. Reversible cerebral vasoconstriction syndrome triggering by carotid artery revascularization is exceptional but it is an unrecognized aetiology of stroke. It could be associated with brain edema and henceforth, a posterior reversible encephalopathy syndrome can be confused with postcarotid artery revascularization cerebral hyperperfusion syndrome. We reported three cases about reversible cerebral vasoconstriction syndrome following revascularization therapy whose one had also a posterior reversible encephalopathy syndrome. This complication occurred within two weeks after carotid artery revascularization. All took nimodipine and all had a functional improvement at 3-months follow-up. Reversible cerebral vasoconstriction syndrome with posterior reversible encephalopathy syndrome after carotid artery revascularization may mimic cerebral hyperperfusion syndrome. After a comprehensive review, nineteen cases of reversible cerebral vasoconstriction syndrome post-carotid artery revascularization have been reported in the literature mainly after symptoms. It occurs mainly in women around sixty years of age. The onset is expected four days after revascularization.
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hal-04901473 , version 1 (20-01-2025)

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Pacôme Constant Dit Beaufils, Alderic Lecluse, Benoît Guillon, Godwin Tatah, Guillaume Marc. Reversible cerebral vasoconstriction syndrome following carotid artery revascularization: About three case reports and review of literature. JMV-Journal de Médecine Vasculaire, 2024, 49 (5-6), pp.195 - 202. ⟨10.1016/j.jdmv.2024.08.003⟩. ⟨hal-04901473⟩
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