A case of hyperperfusion syndrome treated successfully by propofol

K. Sato, H. Shimizu, T. Horinouchi, M. Kato

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Carotid endoarterectomy was performed for a 67-year-old male with severe stenosis in the right carotid artery under propofol-fentanyl anesthesia. After the surgery, blood pressure was controlled by sodium nitroprusside to maintain at the preoperative level. On the first postoperative day, he was alert and without neurological deficit, but he became restless with the left hemiparesis appearing on the next day. ECD-SPECT revealed hyperperfusion of the right hemisphere. Propofol was administered at the dose of 3-5 mg · kg-1 · h-1 to normalize the perfusion. It appears that the cerebral blood flow was normalized. Hyperperfusion after carotid endoarterectomy can be controlled by propofol.

Original languageEnglish
Pages (from-to)25-28
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume50
Issue number1
Publication statusPublished - 2001 Feb 24

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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