Shao Belinda, Banu Matei A, Carroll Jason J, Meyers Philip M, Lavine Sean D, Feldstein Neil A, Anderson Richard C E
Department of Neurological Surgery, College of Physicians and Surgeons, Neurological Institute of New York, Columbia University, New York, New York, USA.
Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Pediatr Neurosurg. 2019;54(2):132-138. doi: 10.1159/000495834. Epub 2019 Jan 16.
Cerebral vasospasm is associated with significant morbidity, and most commonly occurs following subarachnoid hemorrhage. Rarely, vasospasm can follow tumor resection and traumatic brain injury. We present the first reported case of a young child who developed diffuse vasospasm following open fenestration of an arachnoid cyst and was promptly treated, with full recovery of neurologic function. Although vasopasm after arachnoid cyst fenestration is rare, it can be included in the differential for a new focal neurologic deficit.
脑血管痉挛与严重的发病率相关，最常见于蛛网膜下腔出血后。很少见的是，血管痉挛可发生在肿瘤切除和创伤性脑损伤之后。我们报告了首例在蛛网膜囊肿开窗术后发生弥漫性血管痉挛的幼儿病例，该患儿经及时治疗后神经功能完全恢复。虽然蛛网膜囊肿开窗术后的血管痉挛很罕见，但在出现新的局灶性神经功能缺损时，它可被纳入鉴别诊断范围。
