Tom 15, Nr 3 (2019)
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Opublikowany online: 2019-10-22

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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Zespół hiperperfuzji mózgowej jako następstwo zabiegów reperfuzyjnych

Izabella Tomaszewska-Lampart1, Małgorzata Lisak1, Halina Bartosik-Psujek12
Pol. Przegl. Neurol 2019;15(3):139-150.

Streszczenie

Zespół hiperperfuzji mózgowej jest rzadkim, ale poważnym powikłaniem, które może wystąpić w następstwie przywrócenia dopływu krwi do mózgu po zabiegach rewaskularyzacyjnych. Dotychczas był on najlepiej poznany u chorych poddawanych zabiegom endarterektomii i stentowania. Po wprowadzeniu do terapii udaru mózgu leczenia swoistego zespół hiperperfuzji zaczęto również obserwować u pacjentów leczonych trombolitycznie lub za pomocą trombektomii mechanicznej. Należy go zawsze rozważyć u pacjentów z pogorszen iem klinicznym po udanej rekanalizacji, gdyż w przypadku niewłaściwego postępowania może prowadzić do poważnych konsekwencji. Dlatego też tak ważne są jego wczesne rozpoznanie i szybkie wdrożenie leczenia.

W pracy przedstawiono aktualne doniesienia dotyczące zespołu hiperperfuzji ze szczególnym uwzględnieniem jego występowania po leczeniu udaru niedokrwiennego mózgu.

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