Symptomatic cerebral vasospasm following resection of a medulloblastoma in a child.
BACKGROUND
Vasospasm may occur following intracranial tumor resection but is uncommon following resection of tumors in the posterior fossa.


METHODS
Case report.


RESULTS
Here, we report an unusual pediatric case of symptomatic cerebral vasospasm following resection of a posterior fossa medulloblastoma in a 10-year-old child. CT angiogram and serial Transcranial Doppler (TCD) studies confirmed the presence of vasospasm and response to hemodynamic augmentation therapy, resulting in favorable outcome.


CONCLUSIONS
This case illustrates an unusual complication of posterior fossa tumor resection, and the potential utility of TCD studies in the detection and management of vasospasm in pediatric neurocritical care.
Division of Neurology, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Vamshi K
VK
Rao
Abilash
A
Haridas
Thanh T
TT
Nguyen
Rishi
R
Lulla
Mark S
MS
Wainwright
Joshua L
JL
Goldstein
D002528:Cerebellar Neoplasms / Q000601:surgery*; D002533:Cerebral Angiography; D002648:Child; D005260:Female; D006801:Humans; D015192:Infratentorial Neoplasms / Q000601:surgery; D008527:Medulloblastoma / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D017585:Ultrasonography, Doppler, Transcranial; D020301:Vasospasm, Intracranial / Q000000981:diagnostic imaging / Q000209:etiology*