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A 62-year-old man presented with mild left hemiparesis, headache and blurred vision of his right eye Teaching NeuroImages Neurology Resident and Fellow.

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Presentation on theme: "A 62-year-old man presented with mild left hemiparesis, headache and blurred vision of his right eye Teaching NeuroImages Neurology Resident and Fellow."— Presentation transcript:

1 A 62-year-old man presented with mild left hemiparesis, headache and blurred vision of his right eye Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology

2 62 year-old man Presented with mild left hemiparesis, headache, blurred vision in the right eye The patient had undergone thromboendarterectomy 10 days prior due to symptomatic subtotal stenosis of his right internal carotid artery. Ketteler, et al. Vignette

3 Ketteler, et al. MRI Brain

4 Ketteler, et al. Fundoscopic Evaluation

5 Combined retinal and cerebral hyperperfusion syndrome after carotid thromboendarterectomy Ketteler, et al. Cerebral hyperperfusion syndrome (CHS) occurs in around 3% of patients undergoing carotid thromboendarterectomy and can induce severe neurological deficits. 1 Rarely, hyperperfusion also involves the ipsilateral eye. 2 Under careful blood pressure control, this patient’s symptoms and brain edema fully resolved within weeks.

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