BACKGROUND: Vasospasm may occur following intracranial tumor resection but is uncommon following resection of tumors in the posterior fossa. METHODS: Case report. RESULTS: Here, we report an unusual pediatric case of symptomatic cerebral vasospasm following resection of a posterior fossa medulloblastoma in a 10-year-old child. CT angiogram and serial Transcranial Doppler (TCD) studies confirmed the presence of vasospasm and response to hemodynamic augmentation therapy, resulting in favorable outcome. CONCLUSION: This case illustrates an unusual complication of posterior fossa tumor resection, and the potential utility of TCD studies in the detection and management of vasospasm in pediatric neurocritical care.
BACKGROUND:Vasospasm may occur following intracranial tumor resection but is uncommon following resection of tumors in the posterior fossa. METHODS: Case report. RESULTS: Here, we report an unusual pediatric case of symptomatic cerebral vasospasm following resection of a posterior fossa medulloblastoma in a 10-year-old child. CT angiogram and serial Transcranial Doppler (TCD) studies confirmed the presence of vasospasm and response to hemodynamic augmentation therapy, resulting in favorable outcome. CONCLUSION: This case illustrates an unusual complication of posterior fossa tumor resection, and the potential utility of TCD studies in the detection and management of vasospasm in pediatric neurocritical care.
Authors: E Sander Connolly; Alejandro A Rabinstein; J Ricardo Carhuapoma; Colin P Derdeyn; Jacques Dion; Randall T Higashida; Brian L Hoh; Catherine J Kirkness; Andrew M Naidech; Christopher S Ogilvy; Aman B Patel; B Gregory Thompson; Paul Vespa Journal: Stroke Date: 2012-05-03 Impact factor: 7.914
Authors: Fabien Trabold; Philippe G Meyer; Stéphane Blanot; Pierre A Carli; Gilles A Orliaguet Journal: Intensive Care Med Date: 2003-11-05 Impact factor: 17.440
Authors: Jessica Carpenter; Robert Keating; Steven Weinstein; Gilbert Vezina; John Berger; Michael J Bell Journal: Neurocrit Care Date: 2008 Impact factor: 3.210
Authors: Nicole Fortier O'Brien; Karin E Reuter-Rice; Sandeep Khanna; Bradley M Peterson; Kenneth B Quinto Journal: Intensive Care Med Date: 2010-01-21 Impact factor: 17.440
Authors: S M Toescu; P W Hales; J Cooper; E W Dyson; K Mankad; J D Clayden; K Aquilina; C A Clark Journal: AJNR Am J Neuroradiol Date: 2022-09-22 Impact factor: 4.966