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. 2016 May 3;2016:8725494. doi: 10.1155/2016/8725494

Table 1.

Four cases of cerebral hyperperfusion syndrome after intravenous tPA for acute ischemic stroke.

Age Sex Stroke symptoms PMH NIHSS (onset) tPA dose CHS symptoms NIHSS (D/C) Infarct area
Case  1 61 M Aphasia, right hemiplegia CLL 9 90 mg Seizure 2 Cortical
Case  2 82 M Dysarthria, right hemiplegia Prostate cancer. HTN, Afib 9 70 mg Worsening hemiplegia 7 Basal ganglia
Case  3 92 M Aphasia, right hemiplegia, confusion Colon cancer, Afib 23 74 mg Worsening hemiplegia Deceased Cortical
Case  4 65 F Aphasia, right hemiplegia HTN, DVT, colitis 20 90 mg Eyes deviation, confusion 10 Cortical

PMH: past medical history; NIHSS: NIH stroke scale; CHS: cerebral hyperperfusion syndrome; D/C: at discharge time; M: male; F: female; CLL: chronic lymphocytic leukemia; HTN: hypertension; Afib: atrial fibrillation; DVT: deep vein thrombosis.