Cerebral hyperperfusion syndrome (CHS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cerebral hyperperfusion syndrome (CHS). Severe headache, Seizures, New focal deficits without infarction. Fully referenced neurology checklist.

Clinical features

  • Severe headache
  • Seizures
  • New focal deficits without infarction
  • Intracerebral haemorrhage (ICH)

Magnetic resonance imaging (MRI)

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Risk factors

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References

  1. Maas MB, Kwolek CJ, Hirsch JA, Jaff MR, Rordorf GA. Clinical risk predictors for cerebral hyperperfusion syndrome after carotid endarterectomy. JNNP 2013; 84:569-572.
  2. Adhiyaman V, Alexander S. Cerebral hyperperfusion syndrome following carotid endarterectomy. Q J Med 2007; 100:239-244.
  3. Karapanayiotides T, Meuli R, Devuyst G, et al. Postcarotid endarterectomy hyperperfusion or reperfusion syndrome. Stroke 2005; 36:21-26.

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