Evaluation and Management of Symptomatic Vasospasm following Endoscopic Endonasal Resection of Pediatric Adamantinomatous Craniopharyngioma

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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Main Authors: Dustin Hansen, Joaquin Hidalgo, Alan Cohen, Debraj Mukherjee, Susanna Scafidi
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/8822874
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spelling doaj-f0ec0d1e13a64919a99e857113753af52020-11-30T09:11:26ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Dustin Hansen
Joaquin Hidalgo
Alan Cohen
Debraj Mukherjee
Susanna Scafidi
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
author_facet Dustin Hansen
Joaquin Hidalgo
Alan Cohen
Debraj Mukherjee
Susanna Scafidi
author_sort Dustin Hansen
title 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_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_sort evaluation and management of symptomatic vasospasm following endoscopic endonasal resection of pediatric adamantinomatous craniopharyngioma
publisher Hindawi Limited
series Case Reports in Pediatrics
issn 2090-6803
2090-6811
publishDate 2020-01-01
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.
url http://dx.doi.org/10.1155/2020/8822874
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AT joaquinhidalgo evaluationandmanagementofsymptomaticvasospasmfollowingendoscopicendonasalresectionofpediatricadamantinomatouscraniopharyngioma
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