Diffuse cerebral vasospasm after resection of schwannoma: a case report

Diffuse cerebral vasospasm after resection of schwannoma: a case report

Ji Qi, Liwei Zhang, Wang Jia, Junting Zhang, Zhen Wu Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of China Background: The etiology of vasospasm after brain tumor resection remains unclear. This is the first report of diffu...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Qi J,Zhang LW, Jia W, Zhang JT, Wu Z
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/44bd81db181d4de78c01bfaff6e2411d
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:44bd81db181d4de78c01bfaff6e2411d
record_format dspace
spelling oai:doaj.org-article:44bd81db181d4de78c01bfaff6e2411d2021-12-02T12:26:12ZDiffuse cerebral vasospasm after resection of schwannoma: a case report1178-2021https://doaj.org/article/44bd81db181d4de78c01bfaff6e2411d2015-02-01T00:00:00Zhttp://www.dovepress.com/diffuse-cerebral-vasospasm-after-resection-ofnbspschwannoma-a-case-rep-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Ji Qi, Liwei Zhang, Wang Jia, Junting Zhang, Zhen Wu Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of China Background: The etiology of vasospasm after brain tumor resection remains unclear. This is the first report of diffuse cerebral vasospasm following resection of a schwannoma located in the left portion/part of the ventral medulla oblongata. Case presentation: A 16-year-old boy presented with dizziness and projectile vomiting without apparent cause three months before admission. Magnetic resonance imaging revealed a space-occupying lesion in the left portion of the ventral medulla oblongata. The tumor was completely resected. Pathological examination was consistent with diagnosis of schwannoma. Three days after surgery, the patient was in an unconscious state. Magnetic resonance angiography revealed the occurrence of cerebral vasospasm, with ischemic infarction and segmental cerebrovascular stenosis. Seven days after surgery, dehydration therapy was carried out and decompressive craniectomy was performed in the frontal and temporal areas. Despite treatments, the patient was in a persistent vegetative state after surgery, with normal vital signs. Conclusion: This was an uncommon occurrence of diffuse cerebral vasospasm following the resection of schwannoma. Appropriate management of this condition is uncertain, but aggressive treatments including expansion of blood volume and relief of spasm should be performed to treat postsurgery vasospasm. Keywords: vasospasm, cerebral tumor resection, schwannoma, decompressive craniectomy, magnetic resonance angiographyQi J,Zhang LWJia WZhang JTWu ZDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 317-320 (2015)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Qi J,Zhang LW
Jia W
Zhang JT
Wu Z
Diffuse cerebral vasospasm after resection of schwannoma: a case report
description Ji Qi, Liwei Zhang, Wang Jia, Junting Zhang, Zhen Wu Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of China Background: The etiology of vasospasm after brain tumor resection remains unclear. This is the first report of diffuse cerebral vasospasm following resection of a schwannoma located in the left portion/part of the ventral medulla oblongata. Case presentation: A 16-year-old boy presented with dizziness and projectile vomiting without apparent cause three months before admission. Magnetic resonance imaging revealed a space-occupying lesion in the left portion of the ventral medulla oblongata. The tumor was completely resected. Pathological examination was consistent with diagnosis of schwannoma. Three days after surgery, the patient was in an unconscious state. Magnetic resonance angiography revealed the occurrence of cerebral vasospasm, with ischemic infarction and segmental cerebrovascular stenosis. Seven days after surgery, dehydration therapy was carried out and decompressive craniectomy was performed in the frontal and temporal areas. Despite treatments, the patient was in a persistent vegetative state after surgery, with normal vital signs. Conclusion: This was an uncommon occurrence of diffuse cerebral vasospasm following the resection of schwannoma. Appropriate management of this condition is uncertain, but aggressive treatments including expansion of blood volume and relief of spasm should be performed to treat postsurgery vasospasm. Keywords: vasospasm, cerebral tumor resection, schwannoma, decompressive craniectomy, magnetic resonance angiography
format article
author Qi J,Zhang LW
Jia W
Zhang JT
Wu Z
author_facet Qi J,Zhang LW
Jia W
Zhang JT
Wu Z
author_sort Qi J,Zhang LW
title Diffuse cerebral vasospasm after resection of schwannoma: a case report
title_short Diffuse cerebral vasospasm after resection of schwannoma: a case report
title_full Diffuse cerebral vasospasm after resection of schwannoma: a case report
title_fullStr Diffuse cerebral vasospasm after resection of schwannoma: a case report
title_full_unstemmed Diffuse cerebral vasospasm after resection of schwannoma: a case report
title_sort diffuse cerebral vasospasm after resection of schwannoma: a case report
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/44bd81db181d4de78c01bfaff6e2411d
work_keys_str_mv AT qijzhanglw diffusecerebralvasospasmafterresectionofnbspschwannomaacasereport
AT jiaw diffusecerebralvasospasmafterresectionofnbspschwannomaacasereport
AT zhangjt diffusecerebralvasospasmafterresectionofnbspschwannomaacasereport
AT wuz diffusecerebralvasospasmafterresectionofnbspschwannomaacasereport
_version_ 1718394449833230336

Ejemplares similares