A complicated case of an intracranial epidermoid cyst

Intracranial vasospasm and ischaemic cerebrovascular accident (CVA) following surgical removal of intracranial tumours are rare. To our knowledge, vasospasm has been reported in only two cases following surgery, with one occurring two weeks post-surgery and the other after four days. However, ischae...

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Main Authors: Abdelkader Dib, Johny Salem, Marwan Haddad, Omar Awar, Mirna Fares
Format: Article
Language:English
Published: SMC MEDIA SRL 2025-01-01
Series:European Journal of Case Reports in Internal Medicine
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Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/5121
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author Abdelkader Dib
Johny Salem
Marwan Haddad
Omar Awar
Mirna Fares
author_facet Abdelkader Dib
Johny Salem
Marwan Haddad
Omar Awar
Mirna Fares
author_sort Abdelkader Dib
collection DOAJ
description Intracranial vasospasm and ischaemic cerebrovascular accident (CVA) following surgical removal of intracranial tumours are rare. To our knowledge, vasospasm has been reported in only two cases following surgery, with one occurring two weeks post-surgery and the other after four days. However, ischaemic CVA following surgery has not been previously reported. We present a case in which vasospasm resulted in cerebral infarction immediately postoperatively. MRI and serial magnetic resonance angiography (MRA) revealed no flow in the internal carotid artery and middle cerebral artery, with ultrasound showing multiple thrombi in the internal carotid artery and stenotic features in the left middle cerebral artery.
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issn 2284-2594
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publisher SMC MEDIA SRL
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series European Journal of Case Reports in Internal Medicine
spelling doaj-art-e7272a89eb5d4d41940962e997320e152025-02-04T13:37:20ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-01-0110.12890/2025_0051214656A complicated case of an intracranial epidermoid cystAbdelkader Dib0Johny Salem1https://orcid.org/0000-0003-3693-5089Marwan Haddad2Omar Awar3Mirna Fares4Department of Pulmonary Medicine, Faculty of Medicine, University of Balamand, Beirut, LebanonDepartment of Gastroenterology, Faculty of Medicine, University of Balamand, Beirut, LebanonDepartment of Radiology, University of Balamand, Dekweneh-BeirutDepartment of Neurosurgery, Faculty of Medicine, University of Balamand, Beirut, LebanonDepartment of Pulmonary Medicine, University of Balamand, Dekweneh-BeirutIntracranial vasospasm and ischaemic cerebrovascular accident (CVA) following surgical removal of intracranial tumours are rare. To our knowledge, vasospasm has been reported in only two cases following surgery, with one occurring two weeks post-surgery and the other after four days. However, ischaemic CVA following surgery has not been previously reported. We present a case in which vasospasm resulted in cerebral infarction immediately postoperatively. MRI and serial magnetic resonance angiography (MRA) revealed no flow in the internal carotid artery and middle cerebral artery, with ultrasound showing multiple thrombi in the internal carotid artery and stenotic features in the left middle cerebral artery.https://www.ejcrim.com/index.php/EJCRIM/article/view/5121epidermoid cystintracranialvasospasmcerebrovascular injury
spellingShingle Abdelkader Dib
Johny Salem
Marwan Haddad
Omar Awar
Mirna Fares
A complicated case of an intracranial epidermoid cyst
European Journal of Case Reports in Internal Medicine
epidermoid cyst
intracranial
vasospasm
cerebrovascular injury
title A complicated case of an intracranial epidermoid cyst
title_full A complicated case of an intracranial epidermoid cyst
title_fullStr A complicated case of an intracranial epidermoid cyst
title_full_unstemmed A complicated case of an intracranial epidermoid cyst
title_short A complicated case of an intracranial epidermoid cyst
title_sort complicated case of an intracranial epidermoid cyst
topic epidermoid cyst
intracranial
vasospasm
cerebrovascular injury
url https://www.ejcrim.com/index.php/EJCRIM/article/view/5121
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