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Published on: August 30, 2020
Delayed ischaemia due to vasospasm after fenestration of a large arachnoid cyst
Jochem K H Spoor1,2, Hugo P Aben3, Bachtiar Burhani1
1a Department of Neurosurgery , St Elisabeth - Tweesteden Hospital , Tilburg , The Netherlands.
An 18-year-old patient developed multiple infarcts, nine days after endoscopic fenestration of a large arachnoid cyst. We consider vasospasm to be the most likely cause, presumably triggered by a chemical meningitis. Although mostly seen after subarachnoid haemorrhage, vasospasm can also occur after traumatic brain injury, brain surgery or meningitis.
An 18-year-old patient developed multiple infarcts, nine days after endoscopic fenestration of a large arachnoid cyst. We consider vasospasm to be the most likely cause, presumably triggered by a chemical meningitis. Although mostly seen after subarachnoid haemorrhage, vasospasm can also occur after traumatic brain injury, brain surgery or meningitis.
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