Unique Case of Spontaneous Basilar Artery Stroke in an Operated Child with Craniopharyngioma

Authors

Krishna Shah
Shrey Jain
Ajit K Sinha

Publication Date

6-1-2022

Journal

Asian Journal of Neurosurgery

DOI

10.1055/s-0042-1750381

PMID

36120618

PMCID

PMC9473854

PubMedCentral® Posted Date

8-25-2022

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

craniopharyngioma, basilar artery, thrombosis, posterior circulation stroke, vascular complication

Abstract

Craniopharyngiomas are the most commonly presented nonglial tumors in child patients. They cause significant morbidity and mortality, both before and after surgery. The most common immediate postsurgery complications are attributable to pituitary insufficiency. Neurovascular complications account for only 2.7 to 2.9% surgical cases, and usually involve the vessels of the Circle of Willis. Thrombosis or vasospasm of the vessels of posterior circulation is unheard of. Here, we are reporting a unique case of a child with craniopharyngioma who developed acute spontaneous basilar artery thrombosis and posterior circulation stroke 6 days after surgery.