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Neurological picture
Post-carotid endarterectomy cerebral hyperperfusion leading to intracerebral haemorrhage
  1. TOSHIHIKO HAISA,
  2. TATSUYA KONDO
  1. Department of Neurosurgery
  2. Department of Neurology
  3. Department of Radiology, The National Medical Centre and International Cooperation Bureau, Tokyo, Japan
  1. Dr T Haisa, Department of Neurosurgery, The National Medical Centre and International Cooperation Bureau, 1–21–1, Toyama, Shinjuku-ku, Tokyo 162–8655, Japan. Telephone 0081 3 3202 7181; fax 0081 3 3207 1038; email thaisa{at}imcj.hosp.go.jp
  1. TOMOYUKI SHIMPO
  1. Department of Neurosurgery
  2. Department of Neurology
  3. Department of Radiology, The National Medical Centre and International Cooperation Bureau, Tokyo, Japan
  1. Dr T Haisa, Department of Neurosurgery, The National Medical Centre and International Cooperation Bureau, 1–21–1, Toyama, Shinjuku-ku, Tokyo 162–8655, Japan. Telephone 0081 3 3202 7181; fax 0081 3 3207 1038; email thaisa{at}imcj.hosp.go.jp
  1. TOSHIHIKO HARA
  1. Department of Neurosurgery
  2. Department of Neurology
  3. Department of Radiology, The National Medical Centre and International Cooperation Bureau, Tokyo, Japan
  1. Dr T Haisa, Department of Neurosurgery, The National Medical Centre and International Cooperation Bureau, 1–21–1, Toyama, Shinjuku-ku, Tokyo 162–8655, Japan. Telephone 0081 3 3202 7181; fax 0081 3 3207 1038; email thaisa{at}imcj.hosp.go.jp

https://doi.org/10.1136/jnnp.67.4.546

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    A 58 year old hypertensive man experienced several episodes of transient weakness of the left limbs during the year before admission, when neurological examination disclosed a left hemiparesis and spatial hemineglect. T2 weighted brain MRI (figure A) showed frontotemporoinsular cortical hyperintensity on the right. Carotid angiography showed 90% stenosis (arrow) of the right internal …

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