Early space-occupying cerebellar oedema requiring decompressive craniectomy following a clinically minor stroke.

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Abstrakt

Tytuł:: Early space-occupying cerebellar oedema requiring decompressive craniectomy following a clinically minor stroke.
Autorzy:: Borojevic B; Department of Neurosciences, Eastern Health, Box Hill, Victoria, Australia .
Choi PMC; Department of Neurosciences, Eastern Health, Box Hill, Victoria, Australia.; Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
Źródło:: BMJ case reports [BMJ Case Rep] 2021 Jul 26; Vol. 14 (7). Date of Electronic Publication: 2021 Jul 26.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Brain Edema*/diagnostic imaging
Brain Edema*/etiology
Brain Edema*/surgery
Brain Ischemia*/surgery
Decompressive Craniectomy*
Stroke*/diagnostic imaging
Stroke*/surgery
Edema ; Female ; Humans
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Contributed Indexing:: Keywords: brain stem / cerebellum; neuroimaging; neurosurgery; stroke
Entry Date(s):: Date Created: 20210727 Date Completed: 20210728 Latest Revision: 20230727
Update Code:: 20240105
PubMed Central ID:: PMC8314700
DOI:: 10.1136/bcr-2021-243815
PMID:: 34312138
: Czasopismo naukowe

We describe a patient presented with clinically a small cerebellar ischaemic stroke but required emergency decompression within 24 hours of symptoms onset after incidental finding of severe mass effect on imaging without any change in her mild clinical symptoms. Her initial multimodal acute stroke imaging, non-contrast CT of the brain and CT angiography from aortic arch to vertex were normal. CT perfusion showed a very small deficit only. The malignant mass effect was picked on an MRI scan performed routinely as part of a clinical trial, 32 hours after stroke. Our case highlights stroke evolution, and mass effect may be insidious and faster than anticipated in the posterior fossa. Cerebellar stroke of any severity diagnosed clinically and radiologically may benefit from routine follow-up imaging at 24 hours from onset.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)

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