Symptomatic cerebral vasospasm following resection of a medulloblastoma in a child

Rao, V. K.; Haridas, A.; Nguyen, T. T.; Lulla, R.; Wainwright, M. S.; Goldstein, J. L.

Neurocrit Care. 2012 Aug 23; 18(1):84-8

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.

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