Cerebral Hyperperfusion Syndrome Following Concurrent Left Common Carotid Artery Stenting and Endarterectomy

Treatment of carotid artery stenosis has been described as a risk factor for cerebral hyperperfusion syndrome.We present a case wherein an elderly female underwent concurrent stenting of a left common carotid artery origin stenosis and left carotid endarterectomy who presented with headache and left hemispheric symptoms 6 days post-procedure.Cerebral edema was seen on CT.The patient made a full recovery with no evidence of infarction.