Symptomatic vessel narrowing caused by spontaneous rupture of craniopharyngioma cyst -Case report-

Naoki Shida, Nobukazu Nakasato, Kazuo Mizoi, Masaya Kanaki, Takashi Yoshimoto

Research output: Contribution to journalArticlepeer-review

29 Citations (Scopus)

Abstract

A 36-year-old female presented with cerebral infarction due to severe vessel stenosis after spontaneous rupture of a craniopharyngioma, manifesting as aphasia and drowsiness. Neuroimaging showed the suprasellar cystic tumor with wall enhancement and cerebral infarction in the left temporoparietal region, and also enhancement of the left sylvian fissure and prepontine cistern. Angiography showed severe narrowing at the C1 portion of the left internal carotid artery (ICA) and the M1 portion of the left middle cerebral artery (MCA). The tumor was subtotally removed via a bifrontal craniotomy. There was accumulated milky-white debris around the left ICA and MCA. She became alert within a few days postoperatively. Repeat angiography 1 month after surgery demonstrated slight improvement of vessel narrowing. The neuroimaging and intraoperative findings suggested that the stenosis was due to vasospasm induced by chemical meningitis resulting from cyst rupture.

Original languageEnglish
Pages (from-to)666-668
Number of pages3
JournalNeurologia medico-chirurgica
Volume38
Issue number10
DOIs
Publication statusPublished - 1998 Oct

Keywords

  • Cerebral infarction
  • Craniopharyngioma
  • Cyst rupture
  • Stenosis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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