A Complicated Case of An Intracranial Epidermoid Cyst.

Q3 Medicine

European journal of case reports in internal medicine Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.12890/2025_005121

Abdelkader Dib, Johny Salem, Marwan Haddad, Omar Awar, Mirna Fares

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引用次数: 0

Abstract

Intracranial vasospasm and ischaemic cerebrovascular accident (CVA) following surgical removal of intracranial tumours are rare. To our knowledge, vasospasm has been reported in only two cases following surgery, with one occurring two weeks post-surgery and the other after four days. However, ischaemic CVA following surgery has not been previously reported. We present a case in which vasospasm resulted in cerebral infarction immediately postoperatively. MRI and serial magnetic resonance angiography (MRA) revealed no flow in the internal carotid artery and middle cerebral artery, with ultrasound showing multiple thrombi in the internal carotid artery and stenotic features in the left middle cerebral artery.

Learning points: Intracranial vasospasm and ischaemic cerebrovascular accident (CVA) following surgical removal of intracranial tumours are rare.We report a case of ischaemic CVA and vasospasm following resection of an intracranial epidermoid cyst. Although the tumour was completely resected, vasospasm and ischaemic injury led to significant neurological deficits.Perioperative corticosteroids may be beneficial in reducing the incidence of vasospasm and ischaemic events, though their efficacy can vary.

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来源期刊

European journal of case reports in internal medicine

CiteScore

2.10

自引率

0.00%

发文量

166

审稿时长

8 weeks

期刊介绍： The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.