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Fig. 2 | Chinese Neurosurgical Journal

Fig. 2

From: Risk factors of postoperative cerebral hyperperfusion syndrome and its relationship with clinical prognosis in adult patients with moyamoya disease

Fig. 2

Illustration of a 50-year-old patient with CHS. This MMD patient presented with speech dysfunction and right limb paresthesia and was treated with combined bypass surgery on left hemisphere. On 2 days after surgery, he suffered from aphasia, hemiplegia and emergency CT found high-density sign around operative area (A), and no infarcted sign on DWI image (B). When compared with MRA before surgery (E), bypass artery was enlarged (F, circle). Hemispheric perfusion was improved after revascularization, with TTP decreased (C and G) and CBF increased (D and H). After treatment of blood control, fluid dehydration, and antiepileptic drug, he recovered gradually and discharged with no symptoms

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