Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000079.xml
Skull Base 2010; 20(5): 363-366
DOI: 10.1055/s-0030-1251508
DOI: 10.1055/s-0030-1251508
CASE REPORT
© Thieme Medical Publishers
Cerebrovasospasm Following Endoscopic Cerebrospinal Fluid Leak Repair
Further Information
Publication History
Publication Date:
19 March 2010 (online)
ABSTRACT
Endoscopic repair of spinal fluid leaks is a commonly performed procedure with low morbidity. However, this is the first report of cerebrovasospasm, following endoscopic repair of a cerebrospinal fluid (CSF) leak. A 51-year-old woman underwent endoscopic repair of a spontaneous CSF leak. She subsequently developed symptomatic cerebrovasospasm on postoperative day 3. This was successfully treated with intraarterial verapamil infusion.
KEYWORDS
Cerebrospinal fluid leak - endoscopic repair - cerebrovasospasm - verapamil
REFERENCES
- 1 Kassell N F, Sasaki T, Colohan A R, Nazar G. Cerebral vasospasm following aneurysmal subarachnoid hemorrhage. Stroke. 1985; 16 562-572
- 2 Pasqualin A, Vivenza C, Rosta L, Licata C, Cavazzani P, Da Pian R. Cerebral vasospasm after head injury. Neurosurgery. 1984; 15 855-858
- 3 Holrieder M, Spiegel M, Hinterhoelzl J et al.. Cerebral vasospasm and ischaemic infarction in clipped and coiled aneurysm patients. Eur J Neurol. 2002; 9 389-399
- 4 Ries S, Schminke U, Fassbender K, Daffertshofer M, Steinke W, Hennerici M. Cerebrovascular involvement in the acute phase of bacterial meningitis. J Neurol. 1997; 244 51-55
- 5 Chang S D, Yap O W, Adler Jr J R. Symptomatic vasospasm after resection of a suprasellar pilocytic astrocytoma: case report and possible pathogenesis. Surg Neurol. 1999; 51 521-526 discussion 526-527
- 6 de Almeida G M, Bianco E, Souza A S. Vasospasm after acoustic neuroma removal. Surg Neurol. 1985; 23 38-40
- 7 Cervoni L, Salvati M, Santoro A. Vasospasm following tumor removal: report of 5 cases. Ital J Neurol Sci. 1996; 17 291-294
- 8 Chang S D, Yap O WS, Adler Jr J R. Symptomatic vasospasm after resection of a suprasellar pilocytic astrocytoma: case report and possible pathogenesis. Surg Neurol. 1999; 51 521-526 discussion 526-527
- 9 Zabramski J M, Spetzler R F, Bonstelle C. Chronic cerebral vasospasm: effect of volume and timing of hemorrhage in a canine model. Neurosurgery. 1986; 18 1-6
- 10 Fisher C M, Kistler J P, Davis J M. Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery. 1980; 6 1-9
- 11 Hegazy H M, Carrau R L, Snyderman C H, Kassam A, Zweig J. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea: a meta-analysis. Laryngoscope. 2000; 110 1166-1172
- 12 Lopatin A S, Kapitanov D N, Potapov A A. Endonasal endoscopic repair of spontaneous cerebrospinal fluid leaks. Arch Otolaryngol Head Neck Surg. 2003; 129 859-863
- 13 Schlosser R J, Woodworth B A, Wilensky E M, Grady M S, Bolger W E. Spontaneous cerebrospinal fluid leaks: a variant of benign intracranial hypertension. Ann Otol Rhinol Laryngol. 2006; 115 495-500
- 14 Aoki N, Origitano T C, al-Mefty O. Vasospasm after resection of skull base tumors. Acta Neurochir (Wien). 1995; 132 53-58
- 15 Bejjani G K, Duong D H, Kalamarides M, Ziyal I, Sullivan B J. Cerebral vasospasm after tumor resection. A case report. Neurochirurgie. 1997; 43 164-168
- 16 Camp P E, Paxton H D, Buchan G C, Gahbauer H. Vasospasm after trans-sphenoidal hypophysectomy. Neurosurgery. 1980; 7 382-386
- 17 de Almeida G M, Bianco E, Souza A S. Vasospasm after acoustic neuroma removal. Surg Neurol. 1985; 23 38-40
- 18 DeMonte F, Smith H K, al-Mefty O. Outcome of aggressive removal of cavernous sinus meningiomas. J Neurosurg. 1994; 81 245-251
- 19 LeRoux P D, Haglund M M, Mayberg M R, Winn H R. Symptomatic cerebral vasospasm following tumor resection: report of two cases. Surg Neurol. 1991; 36 25-31
- 20 Mawk J R, Ausman J I, Erickson D L, Maxwell R E. Vasospasm following transcranial removal of large pituitary adenomas. Report of three cases. J Neurosurg. 1979; 50 229-232
- 21 Mawk J R. Vasospasm after pituitary surgery. J Neurosurg. 1983; 58 972
- 22 Bejjani G K, Sekhar L N, Yost A M, Bank W O, Wright D C. Vasospasm after cranial base tumor resection: pathogenesis, diagnosis, and therapy. Surg Neurol. 1999; 52 577-583 discussion 583-584
- 23 Suzuki H, Muramatsu M, Kojima T, Taki W. Intracranial heme metabolism and cerebral vasospasm after aneurysmal subarachnoid hemorrhage. Stroke. 2003; 34 2796-2800
- 24 Chaichana K, Riley III L H, Tamargo R J. Delayed cerebral vasospasm secondary to bacterial meningitis after lumbosacral spinal surgery: case report. Neurosurgery. 2007; 60 E206-E207 discussion E207
- 25 Fisher C M, Roberson G H, Ojemann R G. Cerebral vasospasm with ruptured saccular aneurysm—the clinical manifestations. Neurosurgery. 1977; 1 245-248
- 26 Lysakowski C, Walder B, Costanza M C, Tramèr M R. Transcranial Doppler versus angiography in patients with vasospasm due to a ruptured cerebral aneurysm: a systematic review. Stroke. 2001; 32 2292-2298
- 27 Miller J A, Dacey Jr R G, Diringer M N. Safety of hypertensive hypervolemic therapy with phenylephrine in the treatment of delayed ischemic deficits after subarachnoid hemorrhage. Stroke. 1995; 26 2260-2266
- 28 Murai Y, Kominami S, Kobayashi S, Mizunari T, Teramoto A. The long-term effects of transluminal balloon angioplasty for vasospasms after subarachnoid hemorrhage: analyses of cerebral blood flow and reactivity. Surg Neurol. 2005; 64 122-126 discussion 127
- 29 Rosenwasser R H, Armonda R A, Thomas J E, Benitez R P, Gannon P M, Harrop J. Therapeutic modalities for the management of cerebral vasospasm: timing of endovascular options. Neurosurgery. 1999; 44 975-979 discussion 979-980
- 30 McAuliffe W, Townsend M, Eskridge J M, Newell D W, Grady M S, Winn H R. Intracranial pressure changes induced during papaverine infusion for treatment of vasospasm. J Neurosurg. 1995; 83 430-434
- 31 Clyde B L, Firlik A D, Kaufmann A M, Spearman M P, Yonas H. Paradoxical aggravation of vasospasm with papaverine infusion following aneurysmal subarachnoid hemorrhage. Case report. J Neurosurg. 1996; 84 690-695
- 32 Carhuapoma J R, Qureshi A I, Tamargo R J, Mathis J M, Hanley D F. Intra-arterial papaverine-induced seizures: case report and review of the literature. Surg Neurol. 2001; 56 159-163
Jason P HuntM.D.
University of Utah, Division of Otolaryngology, 50 North Medical Drive
3C120SOM, Salt Lake City, UT 84132
Email: jason.hunt@hsc.utah.edu