Department of Neurologic Surgery, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Neurocrit Care. 2011 Feb;14(1):86-90. doi: 10.1007/s12028-010-9464-9.
Diffuse cerebral vasospasm after brain tumor resection is rare. This is the first report of diffuse cerebral vasospasm following resection of a posterior fossa ependymoma. Various etiologies as to the cause of vasospasm after brain tumor resection have been described. A review of the current literature and pathophysiology is discussed.
Case report.
A 23-year-old man developed diffuse cerebral vasospasm 12 days after resection of a posterior fossa ependymoma. He recovered back to his post-operative baseline following aggressive treatment using both hemodynamic augmentation and endovascular methods.
Neurologic deterioration in the post-operative period following tumor resection, unexplained by other causes, should raise the concern for possible cerebral vasospasm. Vasospasm in these cases can be diffuse. Early recognition and prompt treatment using both hemodynamic augmentation and endovascular techniques can significantly improve patient outcome.
脑肿瘤切除术后发生弥漫性脑血管痉挛较为罕见。这是首例报道的后颅窝室管膜瘤切除术后发生弥漫性脑血管痉挛。脑肿瘤切除术后发生脑血管痉挛的各种病因已有描述。本文对目前的文献和病理生理学进行了复习。
病例报告。
一名 23 岁男性在切除后颅窝室管膜瘤 12 天后发生弥漫性脑血管痉挛。通过积极的血流动力学增强和血管内治疗，他的病情恢复到术后基线水平。
肿瘤切除术后的围手术期神经功能恶化，如果没有其他原因解释，应引起对可能发生的脑血管痉挛的关注。在这些情况下，血管痉挛可能是弥漫性的。早期识别并及时使用血流动力学增强和血管内技术治疗，可以显著改善患者的预后。
