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Child's Nervous System

, Volume 35, Issue 4, pp 695–699 | Cite as

Cerebral vasospasm after endoscopic fenestration of a temporal arachnoid cyst in a child—a case report and review of the literature

  • Anna Prajsnar-Borak
  • Joachim OertelEmail author
  • Sebastian Antes
  • Umut Yilmaz
  • Stefan Linsler
Case Report

Abstract

Introduction

Intracranial arachnoid cysts (ACs) represent rare extra-axial CSF-containing lesions. Surgical management mainly depends on the cyst location and its size. Nevertheless, pure endoscopic fenestration represents a relatively straightforward and safe technique, and—in most cases—the treatment of choice for symptomatic intracranial ACs. The postoperative complication rate of the procedure is low including subdural hematomas, hygromas, and intraparenchymal hemorrhages. Symptomatic cerebral vasospasm after endoscopic treatment of ACs is a very uncommon event.

Case report/Results

To the authors’ knowledge, this adverse event in children has not yet been reported in the literature yet. The authors present a case of a 9-year-old child developing an early symptomatic cerebral vasospasm with an insignificant secondary ischemia following endoscopic fenestration of a large temporal arachnoid cyst.

Discussion

The clinical approach, possible pathogenesis, and the therapeutic strategy is discussed particularly with regard to the literature.

Keywords

Vasospasm Arachnoid cyst Arterial ischemic stroke Endoscopic fenestration Cystocisternostomy Neuroendoscopy 

Abbreviations

AC

Arachnoid cyst

CSF

Cerebrospinal fluid

FLAIR

fluid attenuated inversion recovery

ICA

Internal carotid artery

ICU

Intensive Care Unit

MAP

Middle arterial pressure

MRI

Magnetic Resonance Imaging

SAH

Subarachnoid hemorrhage

SPECT

Single photon emission computed tomography

Notes

Financial disclosure

Joachim Oertel acts as consultant to Karl Storz SE Company. Stefan Linsler received honorarium for presentations from Karl Storz SE Company. Besides this, the authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest, or non-financial interest in the subject matter or materials discussed in this manuscript. No funding was received for this research.

Supplementary material

381_2018_4011_MOESM1_ESM.docx (106 kb)
ESM 1 (DOCX 105 kb)
381_2018_4011_MOESM2_ESM.pdf (275 kb)
ESM 2 (PDF 274 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurosurgery, Faculty of MedicineSaarland University Medical Center and Saarland UniversityHomburg/SaarGermany
  2. 2.Department of Neuroradiology, Faculty of MedicineSaarland University Medical Center and Saarland UniversityHomburgGermany

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