期刊
NEUROCRITICAL CARE
卷 3, 期 1, 页码 46-50出版社
HUMANA PRESS INC
DOI: 10.1385/NCC:3:1:046
关键词
CT perfusion; posterior reversible encephalopathy syndrome (PRES); Triple H therapy; vasospasm; hypertension
Introduction: This article reports a case of posterior reversible encephalopathy syndrome on compyted tomography (CT) perfusion in a patient on Triple H (hypertension, hypervolemia, and hemodilution) therapy following aneurysmal rupture repair. Case Report: Triple H therapy is used in the postoperative course for treatment of vasospasm to prevent stroke and hemorrhage by maintaining cerebral perfusion pressure. Discussion: A potential complication includes vasogenic edema from dysfunction of cerebral blood vessel autoregulation. CT perfusion can detect alterations in cerebral blood flow and volume caused by these hemodynamic changes.
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