Cargando…

Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome

BACKGROUND: Patients with brain vascular disease and hydrocephalus may be predisposed to acute ischemic stroke in case of shunt dysfunction and subsequent increased intracranial pression. Patients with brain tumor may develop hydrocephalus as a consequence of obstruction of cerebrospinal fluid pathw...

Descripción completa

Detalles Bibliográficos
Autores principales: Vitulli, Francesca, Spennato, Pietro, Cicala, Domenico, Mirone, Giuseppe, Scala, Maria Rosaria, Cinalli, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345112/
https://www.ncbi.nlm.nih.gov/pubmed/35928308
http://dx.doi.org/10.25259/SNI_434_2022
_version_ 1784761360435904512
author Vitulli, Francesca
Spennato, Pietro
Cicala, Domenico
Mirone, Giuseppe
Scala, Maria Rosaria
Cinalli, Giuseppe
author_facet Vitulli, Francesca
Spennato, Pietro
Cicala, Domenico
Mirone, Giuseppe
Scala, Maria Rosaria
Cinalli, Giuseppe
author_sort Vitulli, Francesca
collection PubMed
description BACKGROUND: Patients with brain vascular disease and hydrocephalus may be predisposed to acute ischemic stroke in case of shunt dysfunction and subsequent increased intracranial pression. Patients with brain tumor may develop hydrocephalus as a consequence of obstruction of cerebrospinal fluid pathways and radiation-induced moyamoya syndrome secondary (RIMS) to radiotherapy (RT). CASE DESCRIPTION: A 15-year-old male patient, affected by hydrocephalus and RIMS, presented acute cerebral ischemia after an episode of shunt malfunction. The shunt was promptly revised and the areas of ischemia visible at magnetic resonance imaging significantly decreased. CONCLUSION: Children who receive RT for brain tumor, particularly if the circle of Willis region is involved, require close surveillance for the development of vasculopathy and consequent stroke. This surveillance must be even tighter if the patient has been treated with ventricular shunt for the possible synergistic interaction between the two causes on reducing cerebral perfusion and increasing the risk of acute ischemic events.
format Online
Article
Text
id pubmed-9345112
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Scientific Scholar
record_format MEDLINE/PubMed
spelling pubmed-93451122022-08-03 Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome Vitulli, Francesca Spennato, Pietro Cicala, Domenico Mirone, Giuseppe Scala, Maria Rosaria Cinalli, Giuseppe Surg Neurol Int Case Report BACKGROUND: Patients with brain vascular disease and hydrocephalus may be predisposed to acute ischemic stroke in case of shunt dysfunction and subsequent increased intracranial pression. Patients with brain tumor may develop hydrocephalus as a consequence of obstruction of cerebrospinal fluid pathways and radiation-induced moyamoya syndrome secondary (RIMS) to radiotherapy (RT). CASE DESCRIPTION: A 15-year-old male patient, affected by hydrocephalus and RIMS, presented acute cerebral ischemia after an episode of shunt malfunction. The shunt was promptly revised and the areas of ischemia visible at magnetic resonance imaging significantly decreased. CONCLUSION: Children who receive RT for brain tumor, particularly if the circle of Willis region is involved, require close surveillance for the development of vasculopathy and consequent stroke. This surveillance must be even tighter if the patient has been treated with ventricular shunt for the possible synergistic interaction between the two causes on reducing cerebral perfusion and increasing the risk of acute ischemic events. Scientific Scholar 2022-07-15 /pmc/articles/PMC9345112/ /pubmed/35928308 http://dx.doi.org/10.25259/SNI_434_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Vitulli, Francesca
Spennato, Pietro
Cicala, Domenico
Mirone, Giuseppe
Scala, Maria Rosaria
Cinalli, Giuseppe
Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome
title Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome
title_full Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome
title_fullStr Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome
title_full_unstemmed Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome
title_short Acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with Moyamoya syndrome
title_sort acute ischemic stroke secondary to ventriculoperitoneal shunt dysfunction in a child with moyamoya syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345112/
https://www.ncbi.nlm.nih.gov/pubmed/35928308
http://dx.doi.org/10.25259/SNI_434_2022
work_keys_str_mv AT vitullifrancesca acuteischemicstrokesecondarytoventriculoperitonealshuntdysfunctioninachildwithmoyamoyasyndrome
AT spennatopietro acuteischemicstrokesecondarytoventriculoperitonealshuntdysfunctioninachildwithmoyamoyasyndrome
AT cicaladomenico acuteischemicstrokesecondarytoventriculoperitonealshuntdysfunctioninachildwithmoyamoyasyndrome
AT mironegiuseppe acuteischemicstrokesecondarytoventriculoperitonealshuntdysfunctioninachildwithmoyamoyasyndrome
AT scalamariarosaria acuteischemicstrokesecondarytoventriculoperitonealshuntdysfunctioninachildwithmoyamoyasyndrome
AT cinalligiuseppe acuteischemicstrokesecondarytoventriculoperitonealshuntdysfunctioninachildwithmoyamoyasyndrome