Cerebral Vasospasm after Open Fenestration of an Arachnoid Cyst in a 4-Year-Old Boy: Case Report and Review of the Literature

Shao, Belinda; Banu, Matei; Carroll, Jason J; Meyers, Philip M.; Lavine, Sean D.; Feldstein, Neil A.; Anderson, Richard C. E.

doi:10.1159/000495834

Cited by 2 publications

(1 citation statement)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interestingly, the only case found in the literature in which there was a correlation between an arachnoid cyst and cerebral vasospasm is that of a 4-year-old boy whose postoperative course following open fenestration of an arachnoid cyst was complicated by suspected chemical meningitis followed by diffuse cerebral vasospasm. 28 While superimposed infection of an existing arachnoid cyst is a rare event, its consequences can be severe and long lasting. We, therefore, wish to raise awareness of the possibility, as it is not widely reported.…”

Section: Discussionmentioning

confidence: 99%

Infection of arachnoid cyst associated with vasospasm and stroke in a pediatric patient: case report

Gale¹,

Nowicki²,

Wolfe³

et al. 2020

Journal of Neurosurgery: Pediatrics

View full text Add to dashboard Cite

Arachnoid cysts are relatively common and benign intraarachnoid membrane outpouchings containing CSF-like fluid. The majority of arachnoid cysts remain stable and asymptomatic and do not require intervention in the pediatric population. Here, the authors present the first reported case of an infected arachnoid cyst in a pediatric patient resulting in severe vasospasm of the left terminal internal carotid artery, left A1 segment, and left M1 branches with a left middle cerebral artery infarct. Their experience suggests that close monitoring is warranted for this condition and that the pediatric population may be at higher risk for vasospasm.

show abstract

Section: Discussionmentioning

confidence: 99%

Infection of arachnoid cyst associated with vasospasm and stroke in a pediatric patient: case report

Gale¹,

Nowicki²,

Wolfe³

et al. 2020

Journal of Neurosurgery: Pediatrics

View full text Add to dashboard Cite

show abstract

Postoperative Symptomatic Cerebral Vasospasm: Requiring Attention Following an Uneventful Resection of an Epidermoid Cyst - A Case Report and Literature Review

HIGASHINO,

KOYAMA,

FUJITA

et al. 2024

NMC Case Report Journal

View full text Add to dashboard Cite

Cerebral vasospasm associated with epidermoid cyst can be caused by tumor content spillage, such as spontaneous rupture and postsurgical resection. Symptomatic cerebral vasospasm following the resection of an intracranial epidermoid cyst is a rare but serious complication that lacks a consensus on treatment. Case presentation: A 10-year-old girl underwent an uneventful complete resection of a left cerebellopontine angle epidermoid cyst. On the second postoperative day (POD 2), she exhibited reduced speech, confusion, and hyperventilation followed by hypocapnia. On POD 4, she developed right hemiparesis and dysphasia. Cerebral magnetic resonance imaging showed restricted diffusion areas in her left temporal and parietal lobes and the dorsal thalamus. Magnetic resonance angiograms confirmed narrowing of the proximal middle cerebral arteries, consistent with vasospasm. Conservative management, consisting of intravenous hydration and corticosteroid administration, proved effective in resolving her symptoms and radiologic vasospasm. On POD 8, the extensive restricted diffusion areas notably decreased in size. Her right hemiparesis was completely resolved, and her dysphasia gradually improved over time. At the 1-year follow-up, she exhibited moderate transcortical sensory dysphasia. To our knowledge, this study is the first to report on a pediatric case of symptomatic cerebral vasospasm following an epidermoid cyst resection. The combination of tumor content spillage and hyperventilation may contribute to the occurrence of cerebral vasospasm and subsequent ischemia. This complication should be acknowledged after a complete and uneventful resection.

show abstract

Cerebral Vasospasm after Open Fenestration of an Arachnoid Cyst in a 4-Year-Old Boy: Case Report and Review of the Literature

Cited by 2 publications

References 28 publications

Infection of arachnoid cyst associated with vasospasm and stroke in a pediatric patient: case report

Infection of arachnoid cyst associated with vasospasm and stroke in a pediatric patient: case report

Postoperative Symptomatic Cerebral Vasospasm: Requiring Attention Following an Uneventful Resection of an Epidermoid Cyst - A Case Report and Literature Review

Contact Info

Product

Resources

About