Headache after angioplasty surgery

[abhi_sachin]

Hi, My father had a angioplasty surgery 9 months back and AFTER that he started having headache. After all scans, checkups, many treatments, it keeps coming back. It has become more severe. On one of the articles on internet I read about hyperfusion, is it related to that?

[dr_simran]

Hello Dear,
SPECT or single photon emission computed tomography  can be used to diagnose and monitor cerebral hyperperfusion after carotid endarterectomy and may be of particular value for differentiating hyperperfusion from ischemia when characteristic computed tomographic and transcranial Doppler sonographic findings are absent.
Refer http://cat.inist.fr/?aModele=afficheN&cpsidt=2309869
Best

[BUPatel]

Hello sir, my father has gone through angioplasty two months ago. But, frequently he is suffering from problems like anxiety, headache, fatigue, dry cough etc. after consuming the medicines prescribed by the cardiologist. So, what is the problem? Specially, he is suffering from headache and dry cough. Sir, what to do, can i get any suggestion from your side?

[abhi_sachin]

Hi Doctor,

Thanks for your support.

Is there a test which can diagnose that hyperperfusion is the cause of the headache. we have been through all MRIs and CT scans and blood tests etc.. All say everything is fine.

Regards,
Abhi

[dr_simran]

Hi,
Yes it is very much possible for hyperperfusion to be the cause of the headache as there is a long period of ischaemia causing less blood supply to the brain.

[abhi_sachin]

Hello Doctor,
My question was 'is it a possiblity that hyperperfusion be the cause of the headache'. Nothing could be diagnosed till now. Just wanted your suggestion on what could be the cause of the headache if the tests and scans reveal nothing.

Regards

[dr_simran]

Hello Dear,
It is believed that cerebral hyperperfusion is caused by loss of
cerebral autoregulation resulting from chronic cerebral ischemia
and that it occurs preferentially in patients with severe ipsilateral or
contralateral carotid disease, increased intraoperative cerebral
perfusion, or severe perioperative hypertension
It may occur within hours to 3 weeks after carotid
endarterectomy and is characterized by symptoms ranging from
headaches, fits, confusion, focal neurologic signs to intracerebral
hemorrhage .
Clinically, cerebral hyperperfusion is
defined as hypertension with symptoms of severe headache,
seizures, and/or confusion.
Urgent treatment of hypertension has to be done. Patients with these factors may require more intensive hemodynamic monitoring, including prolongation of hospitalization in some cases.


REFER http://www.ima.org.il/imaj/ar04jan-13.pdf
Best