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Cerebral vasoconstriction after carotid endarterectomy
Diogo Fitas1,2, Marta Carvalho2,3, Pedro Castro2,3
1Department of Neurology, Santa Luzia Hospital, Viana do Castelo, Portugal.
Post-carotid endarterectomy, a patient experienced recurrent cerebral vasoconstriction syndrome. Continuous hemodynamic monitoring is crucial after carotid endarterectomy to detect and manage such serious complications.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Carotid endarterectomy is a procedure to remove plaque from carotid arteries.
- Patients may experience complications, including cerebral vasoconstriction.
Observation:
- A 55-year-old woman developed recurrent cerebral vasoconstriction postoperatively after carotid endarterectomy.
- Symptoms included headache, cerebral edema, and increased blood flow velocities.
Findings:
- The patient presented with symptoms suggestive of cerebral vasoconstriction syndrome after right carotid endarterectomy.
- A subsequent left carotid endarterectomy induced a similar cerebrovascular response.
Implications:
- This case highlights the potential for cerebral vasoconstriction syndrome following carotid endarterectomy.
- Continuous monitoring of cerebral hemodynamics is essential for early detection and management of postoperative complications.
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