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Neurocritical Care
Published in: Neurocritical Care 1/2013

01-02-2013 | Practical Pearl

Symptomatic Cerebral Vasospasm Following Resection of a Medulloblastoma in a Child

Authors: Vamshi K. Rao, Abilash Haridas, Thanh T. Nguyen, Rishi Lulla, Mark S. Wainwright, Joshua L. Goldstein

Published in: Neurocritical Care | Issue 1/2013

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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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Metadata
Title
Symptomatic Cerebral Vasospasm Following Resection of a Medulloblastoma in a Child
Authors
Vamshi K. Rao
Abilash Haridas
Thanh T. Nguyen
Rishi Lulla
Mark S. Wainwright
Joshua L. Goldstein
Publication date
01-02-2013
Publisher
Humana Press Inc
Published in
Neurocritical Care / Issue 1/2013
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-012-9769-y

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