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Blood Flow and Continuous EEG Changes during Symptomatic Plateau Waves

Natalie Kreitzer1, Maggie Huynh2, Brandon Foreman3

  • 1Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267, USA. kreitzne@ucmail.uc.edu.

Brain Sciences
|January 13, 2018
PubMed

Insights

Meningioma resection can rarely cause severe brain swelling and intracranial pressure crises. Close monitoring is crucial for patients experiencing post-operative cerebral edema to detect these dangerous events.

Area of Science:

  • Neurosurgery
  • Neurology
  • Pathophysiology

Background:

  • Benign meningiomas rarely cause significant cerebral edema.
  • Post-operative cerebral edema following meningioma resection is an uncommon complication.

Observation:

  • A 49-year-old female developed malignant cerebral edema after meningioma resection.
  • Initial symptoms were concerning for seizure activity.
  • Transient blood flow changes indicated intracranial pressure (ICP) crises.

Findings:

  • Electroencephalogram (EEG) and noninvasive cerebral blood flow monitoring revealed ICP crises.
  • The patient's presentation highlighted a rare but serious complication of meningioma surgery.

Implications:

  • Close patient monitoring is essential after meningioma resection, especially with cerebral edema.
  • Early detection of ICP crises can prevent severe neurological outcomes.
  • This case underscores the need for vigilance in managing post-operative cerebral edema.
Keywords:
cerebral edemameningiomaneuromonitoring

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