Hyperacute fatal intracerebral hemorrhage following carotid stenting

Abstract

We describe a case of fatal intracerebral hemorrhage (ICH) complicating carotid stenting. The manifestation is distinct from the well-known hyperperfusion syndrome. In our patient, neurologic deterioration appeared within 15 min of stenting, without any prodromal symptom. This early postprocedural complication is radiologically similar to hypertensive ICH and might have the same pathogenesis. Appropriate antihypertensive therapy might be beneficial in preventing this devastating complication.

Keywords

• Carotid stenting
• fatal intracerebral hemorrhage
• hyperacute intracerebral hemorrhage
• intracerebral hemorrhage