Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma
Background. Cerebral vasospasm is a well-described pathology following subarachnoid hemorrhage and trauma in children; however, very few cases have been published following craniopharyngioma resection in children. Those that were published were associated with significant morbidity or mortality at h...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2020/8822874 |
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| author | Dustin Hansen Joaquin Hidalgo Alan Cohen Debraj Mukherjee Susanna Scafidi |
| author_facet | Dustin Hansen Joaquin Hidalgo Alan Cohen Debraj Mukherjee Susanna Scafidi |
| author_sort | Dustin Hansen |
| collection | DOAJ |
| description | Background. Cerebral vasospasm is a well-described pathology following subarachnoid hemorrhage and trauma in children; however, very few cases have been published following craniopharyngioma resection in children. Those that were published were associated with significant morbidity or mortality at hospital discharge. Case Summary. Here, we report the challenging clinical course of a pediatric patient who developed delayed cerebral vasospasm following craniopharyngioma resection. It was first noted on postoperative day 13. The patient was managed with induced hypertension, hypervolemia, and intra-arterial vasodilator therapy (nicardipine). This patient made a full recovery without new focal deficits at hospital discharge. Conclusion. In contrast to previously reported similar pediatric cases, this patient with cerebral vasospasm after craniopharyngioma resection made a full recovery without new focal neurologic deficits. To our knowledge, this is the first occurrence of a patient with this clinical course. |
| format | Article |
| id | doaj-art-f0ec0d1e13a64919a99e857113753af5 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-f0ec0d1e13a64919a99e857113753af52025-02-03T01:00:11ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/88228748822874Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous CraniopharyngiomaDustin Hansen0Joaquin Hidalgo1Alan Cohen2Debraj Mukherjee3Susanna Scafidi4Department of Anesthesiology & Critical Care Medicine, Division of Pediatric Critical Care, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Neurosurgery, Division of Pediatric Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Neurosurgery, Division of Pediatric Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Neurosurgery, Division of Pediatric Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Anesthesiology & Critical Care Medicine, Division of Pediatric Critical Care, Johns Hopkins University School of Medicine, Baltimore, MD, USABackground. Cerebral vasospasm is a well-described pathology following subarachnoid hemorrhage and trauma in children; however, very few cases have been published following craniopharyngioma resection in children. Those that were published were associated with significant morbidity or mortality at hospital discharge. Case Summary. Here, we report the challenging clinical course of a pediatric patient who developed delayed cerebral vasospasm following craniopharyngioma resection. It was first noted on postoperative day 13. The patient was managed with induced hypertension, hypervolemia, and intra-arterial vasodilator therapy (nicardipine). This patient made a full recovery without new focal deficits at hospital discharge. Conclusion. In contrast to previously reported similar pediatric cases, this patient with cerebral vasospasm after craniopharyngioma resection made a full recovery without new focal neurologic deficits. To our knowledge, this is the first occurrence of a patient with this clinical course.http://dx.doi.org/10.1155/2020/8822874 |
| spellingShingle | Dustin Hansen Joaquin Hidalgo Alan Cohen Debraj Mukherjee Susanna Scafidi Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma Case Reports in Pediatrics |
| title | Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma |
| title_full | Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma |
| title_fullStr | Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma |
| title_full_unstemmed | Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma |
| title_short | Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma |
| title_sort | evaluation and management of symptomatic vasospasm following endoscopic endonasal resection of pediatric adamantinomatous craniopharyngioma |
| url | http://dx.doi.org/10.1155/2020/8822874 |
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