Home > Journals > International Journal of Neurology and Neurosurgery

International Journal of Neurology and Neurosurgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Early Cerebral Vasospasm and Cerebral Infarct Following Surgery for Craniopharyngioma – Two Case Reports

Venkatesan Sanjeevi , Venkatesan Sanjeevi1 , Roopesh Kumar2

Author Information

Licence:



International Journal of Neurology and Neurosurgery 12(4):p 191-194, October- December 2020. | DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.12420.18

How Cite This Article:

Venkatesan Sanjeevi, Roopesh Kumar \ Early Cerebral Vasospasm and Cerebral Infarct Following Surgery for Craniopharyngioma – Two Case Reports. 2020;12(4):191–194.

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Delayed Cerebral vasospasm can occur following surgical resection of Craniopharyngioma in sellar and suprasellar subarachnoid cisterns. Early cerebral vasospasm following Craniopharyngioma surgery without subarachnoid hemorrhage is very rare; the pathophysiology is poorly understood and can cause significant post operative morbidity and mortality. Case description: A 3 years old female presented with recurrent suprasellar, underwent re-exploration and excision of the tumor. She had Diabetes Insipidus post operatively, managed with Tab Minirin and subsequently had neurological deterioration with dense left sided hemiplegia. CT brain showed hypodensity in Right fronto temporo parietal region with mass effect and midline shift, suggestive of cerebral infarction, underwent Right fronto temporo parietal decompressive cranicetomy. She improved clinically and neurologically. On two months followup her muscle power improved to 4/5 in both left upper and lower limb, underwent cranioplasty. Another case, a 37 years old male presented with blurring of vision, MRI brain showed sellar suprasellar Craniopharyngioma compressing the optic chiasma. Patient underwent near-total excision, post operatively he had diabetes insipidus, generalized tonic-clonic seizure and dense hemiplegia on right side, MRI brain showed infarct in Left Ganglio capsular region and in the left middle cerebral artery territory and subsequent MRI showed increase in the size of infarct with mass effect and midline shift, an emergency decompressive Crainectomy was performed. During intra-op after durotomy brain was bulging and non-pulsatile. Neurological status did not improved inspite of the surgery and developed severe brain stem dysfunction. Conclusion: Early cerebral vasospasm and cerebral infarct following Craniopharyngioma surgery is very rare. Early diagnosis, aggressive management of Diabetes Insipidus and vasospasm, avoiding spillage of the cystic components of Craniopharyngioma and minimal handling of tumor part close to the hypothalamus as well as leaving behind the capsule close to the hypothalamus during Craniopharyngioma surgery plays an important role in reducing morbidity and mortality.

Keywords: Craniopharyngioma; Early vasospasm; Cerebral infarct; Diabetes Insipidus.

References

No records found.


About this article

Cite this article

Venkatesan Sanjeevi, Roopesh Kumar \ Early Cerebral Vasospasm and Cerebral Infarct Following Surgery for Craniopharyngioma – Two Case Reports. 2020;12(4):191–194.

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.12420.18

Keywords


Article Level Metrics

Last Updated

Thursday 18 June 2026, 04:37:18 (IST)

977

Accesses

1
226
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share