Neurocrit Care
Department of Radiology, NY Presbyterian Hospital, Weill Medical College of Cornell University, New York 10021, USA.
Published: January 2006
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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http://dx.doi.org/10.1385/NCC:3:1:046 | DOI Listing |
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