Biomaterial Database

Cerebral Vasospasm after Posterior Fossa Tumor Surgery: A Case Report and Literature Review. 2020

Selcuk Gocmen, and Gokhan Acka, and Kutlay Karaman, and Serdar Kahraman

Department of Neurosurgery, Anadolu Medical Center, Kocaeli, Turkey, s_gocmen@yahoo.com.

BACKGROUND This report presents an unusual case of symptomatic vasospasm following resection of posterior fossa tumor in a 9-year-old female patient. To the best of our knowledge, only 6 pediatric cases of vasospasms as a complication of brain tumor surgery have been reported in the literature previously. METHODS After an uneventful 12 days postoperatively, the patient suddenly presented with acute neurological deterioration on the 13th day and MR angiography showed bilateral narrowing of the supraclinoid segments of the internal carotid artery and the proximal parts of the A1 and M1 segments. Hypervolemia and vasospasm treatments were administered, and the patient exhibited no neurological deficit at the time of discharge, confirmed via normal MRI. CONCLUSIONS Early diagnosis and intervention in case of suspected symptomatic cerebral vasospasm after pediatric posterior fossa tumor surgery are essential in order to achieve favorable outcomes.

UI	MeSH Term	Description	Entries
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015192	Infratentorial Neoplasms	Intracranial tumors originating in the region of the brain inferior to the TENTORIUM CEREBELLI, which contains the cerebellum, FOURTH VENTRICLE; CEREBELLOPONTINE ANGLE; BRAIN STEM, and related structures. Primary tumors of this region are more frequent in children, and may present with ATAXIA; CRANIAL NERVE DISEASES; vomiting; HEADACHE; HYDROCEPHALUS; or other signs of neurologic dysfunction. Relatively frequent histologic subtypes include TERATOMA; MEDULLOBLASTOMA; GLIOBLASTOMA; ASTROCYTOMA; EPENDYMOMA; CRANIOPHARYNGIOMA; and choroid plexus papilloma (PAPILLOMA, CHOROID PLEXUS).	Infratentorial Tumors,Posterior Fossa Neoplasms,Benign Infratentorial Neoplasms,Infratentorial Cancer,Infratentorial Neoplasms, Benign,Infratentorial Neoplasms, Malignant,Malignant Infratentorial Neoplasms,Neoplasms, Infratentorial,Neoplasms, Posterior Fossa,Posterior Fossa Tumors,Benign Infratentorial Neoplasm,Cancer, Infratentorial,Infratentorial Cancers,Infratentorial Neoplasm,Infratentorial Neoplasm, Benign,Infratentorial Neoplasm, Malignant,Infratentorial Tumor,Malignant Infratentorial Neoplasm,Neoplasm, Benign Infratentorial,Neoplasm, Infratentorial,Neoplasm, Malignant Infratentorial,Neoplasm, Posterior Fossa,Neoplasms, Malignant Infratentorial,Posterior Fossa Neoplasm,Posterior Fossa Tumor,Tumor, Infratentorial,Tumor, Posterior Fossa
D020301	Vasospasm, Intracranial	Constriction of arteries in the SKULL due to sudden, sharp, and often persistent smooth muscle contraction in blood vessels. Intracranial vasospasm results in reduced vessel lumen caliber, restricted blood flow to the brain, and BRAIN ISCHEMIA that may lead to hypoxic-ischemic brain injury (HYPOXIA-ISCHEMIA, BRAIN).	Angiospasm, Intracranial,Cerebral Vasospasm,Intracranial Vasospasm,Cerebral Angiospasm,Cerebral Artery Spasm,Cerebrovascular Spasm,Intracranial Angiospasm,Intracranial Vascular Spasm,Angiospasm, Cerebral,Angiospasms, Cerebral,Angiospasms, Intracranial,Artery Spasm, Cerebral,Artery Spasms, Cerebral,Cerebral Angiospasms,Cerebral Artery Spasms,Cerebral Vasospasms,Cerebrovascular Spasms,Intracranial Angiospasms,Intracranial Vascular Spasms,Intracranial Vasospasms,Spasm, Cerebral Artery,Spasm, Cerebrovascular,Spasm, Intracranial Vascular,Spasms, Cerebral Artery,Spasms, Cerebrovascular,Spasms, Intracranial Vascular,Vascular Spasm, Intracranial,Vascular Spasms, Intracranial,Vasospasm, Cerebral,Vasospasms, Cerebral,Vasospasms, Intracranial