Symptomatic Cerebral Vasospasm Following Resection of a Medulloblastoma in a Child

Abstract

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.

• Content Type Journal Article
• Category Practical Pearl
• Pages 1-5
• DOI 10.1007/s12028-012-9769-y
• Authors
  • Vamshi K. Rao, Division of Neurology, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, No. 51, 225 E. Chicago Ave., Chicago, IL 60611, USA
  • Abilash Haridas, Department of Neurosurgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
  • Thanh T. Nguyen, Division of Neurology, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, No. 51, 225 E. Chicago Ave., Chicago, IL 60611, USA
  • Rishi Lulla, Division of Hematology, Oncology and Stem Cell Transplant, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
  • Mark S. Wainwright, Division of Neurology, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, No. 51, 225 E. Chicago Ave., Chicago, IL 60611, USA
  • Joshua L. Goldstein, Division of Neurology, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, No. 51, 225 E. Chicago Ave., Chicago, IL 60611, USA

• Journal Neurocritical Care
• Online ISSN 1556-0961
• Print ISSN 1541-6933

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