TITLE:
Retinal hemorrhage as a unique ophthalmic manifestation of cerebral hyper perfusion syndrome
AUTHORS:
Eitan Heldenberg, Arie Bass
KEYWORDS:
Cerebral Hyper Perfusion Syndrome; Takayasu Arteritis; Retinal Hemorrhage
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.3 No.4,
July
17,
2013
ABSTRACT: Cerebral hyperperfusion syndrome (CHPS) is a rare, complication of carotid artery revascularization. Acute retinal hemorrhage is a very rare entity previously described as a manifestation of CHPS following 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-year-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 following carotid revascularization of tight can be helpful in identifying those patients who develop symptoms suggesting of CHPS.