Diffuse Cerebral Vasospasm After Resection of a Posterior Fossa Ependymoma
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Jeffrey T. Jacob • Christopher H. Hunt • Eelco F. Wijdicks • Alejandro A. Rabinstein • Harry Cloft • Michael J. Li
- چاپ و سال / کشور: 2011
Description
Background Diffuse cerebral vasospasm after brain tumor resection is rare. This is the first report of diffuse cerebral vasospasm following resection of a posterior fossa ependymoma. Various etiologies as to the cause of vasospasm after brain tumor resection have been described. A review of the current literature and pathophysiology is discussed. Methods Case report. Results A 23-year-old man developed diffuse cerebral vasospasm 12 days after resection of a posterior fossa ependymoma. He recovered back to his post-operative baseline following aggressive treatment using both hemodynamic augmentation and endovascular methods. Conclusions Neurologic deterioration in the post-operative period following tumor resection, unexplained by other causes, should raise the concern for possible cerebral vasospasm. Vasospasm in these cases can be diffuse. Early recognition and prompt treatment using both hemodynamic augmentation and endovascular techniques can significantly improve patient outcome.
Neurocrit Care (2011) 14:86–90 DOI 10.1007/s12028-010-9464-9 Published online: 2 November 2010
