Diffuse cerebral vasospasm after resection of a posterior fossa ependymoma

Jeffrey T. Jacob, Christopher H. Hunt, Eelco F. Wijdicks, Alejandro A. Rabinstein, Harry Cloft, Michael J. Link

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Background: Diffuse cerebral vasospasm after brain tumor resection is rare. This is the first report of diffuse cerebral vasospasm following resection of a posterior fossa ependymoma. Various etiologies as to the cause of vasospasm after brain tumor resection have been described. A review of the current literature and pathophysiology is discussed. Methods: Case report. Results: A 23-year-old man developed diffuse cerebral vasospasm 12 days after resection of a posterior fossa ependymoma. He recovered back to his post-operative baseline following aggressive treatment using both hemodynamic augmentation and endovascular methods. Conclusions: Neurologic deterioration in the post-operative period following tumor resection, unexplained by other causes, should raise the concern for possible cerebral vasospasm. Vasospasm in these cases can be diffuse. Early recognition and prompt treatment using both hemodynamic augmentation and endovascular techniques can significantly improve patient outcome.

Original languageEnglish (US)
Pages (from-to)86-90
Number of pages5
JournalNeurocritical care
Volume14
Issue number1
DOIs
StatePublished - Feb 1 2011

    Fingerprint

Keywords

  • Brain tumor resection
  • Ependymoma
  • Subarachnoid hemorrhage
  • Vasospasm

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this