Delayed Cerebral Infarction Following Trans-Sylvian Surgery for Craniopharyngioma Presenting as Status Epilepticus

Area of Science:

• Pediatric Neurosurgery
• Neurology
• Endocrinology

Background:

• Craniopharyngioma surgery presents significant postoperative challenges.
• Effective management of complications is crucial for patient outcomes.

Observation:

• A 10-year-old boy underwent craniopharyngioma resection.
• Postoperative period complicated by lacunar infarct, endocrine issues, and delayed vasospasm.

Findings:

• Delayed cerebral infarction and status epilepticus developed, likely due to infarction and dyselectrolytemia.
• The case underscores the potential for delayed neurological complications after surgery.

Implications:

• Highlights the need for vigilant monitoring for delayed cerebral infarction and seizures post-craniopharyngioma surgery.
• Suggests a multifactorial etiology for severe neurological events in the postoperative period.
• Informs clinical practice regarding the management of complex pediatric neurosurgical cases.