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Child's Nervous System

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01-04-2019 | Case Report

Cerebral vasospasm after endoscopic fenestration of a temporal arachnoid cyst in a child—a case report and review of the literature

Authors: Anna Prajsnar-Borak, Joachim Oertel, Sebastian Antes, Umut Yilmaz, Stefan Linsler

Published in: Child's Nervous System | Issue 4/2019

Abstract

Introduction

Intracranial arachnoid cysts (ACs) represent rare extra-axial CSF-containing lesions. Surgical management mainly depends on the cyst location and its size. Nevertheless, pure endoscopic fenestration represents a relatively straightforward and safe technique, and—in most cases—the treatment of choice for symptomatic intracranial ACs. The postoperative complication rate of the procedure is low including subdural hematomas, hygromas, and intraparenchymal hemorrhages. Symptomatic cerebral vasospasm after endoscopic treatment of ACs is a very uncommon event.

Case report/Results

To the authors’ knowledge, this adverse event in children has not yet been reported in the literature yet. The authors present a case of a 9-year-old child developing an early symptomatic cerebral vasospasm with an insignificant secondary ischemia following endoscopic fenestration of a large temporal arachnoid cyst.

Discussion

The clinical approach, possible pathogenesis, and the therapeutic strategy is discussed particularly with regard to the literature.

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Title: Cerebral vasospasm after endoscopic fenestration of a temporal arachnoid cyst in a child—a case report and review of the literature
Authors: Anna Prajsnar-Borak
Joachim Oertel
Sebastian Antes
Umut Yilmaz
Stefan Linsler
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 4/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-4011-7

At a glance: The STEP trials

Springer Medicine

Cerebral vasospasm after endoscopic fenestration of a temporal arachnoid cyst in a child—a case report and review of the literature

Abstract

Introduction

Case report/Results

Discussion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case report/Results

Discussion

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