{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:46:24Z","timestamp":1790876784212,"version":"4.1.0"},"reference-count":44,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"9","license":[{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,26]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Symptomatic cerebral vasospasm following posterior fossa extraaxial tumor resection is a rare phenomenon, with only 13 cases previously reported in the literature. The condition appears similar to vasospasm following supratentorial tumor resection, intraaxial posterior fossa tumor resection, and aneurysmal subarachnoid hemorrhage (aSAH). The majority of patients were not evaluated for vasospasm prior to symptom onset, leading to a delay in diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors present their experience in a 56-year-old female who developed delayed cerebral vasospasm after excision of a solid-cystic vestibular schwannoma. Routine postoperative brain computed tomography showed evidence of subarachnoid hemorrhage in the basal cisterns. She was discharged on the 9th postoperative day. On the 11th day after tumor excision, she developed left hemiparesis, dysarthria, and dysphagia and was readmitted. Angiography confirmed bilateral diffuse cerebral vasospasm. The patient responded to standard hyperdynamic therapy used for vasospasm secondary to aSAH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Symptomatic distant cerebral vasospasm after posterior fossa extraaxial tumor excision is a rare but challenging complication with a very high morbidity rate in reported cases. A high index of suspicion is required for early diagnosis and prompt management for a favorable outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23745","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T18:58:30Z","timestamp":1708973910000},"source":"Crossref","is-referenced-by-count":4,"title":["Delayed symptomatic cerebral vasospasm following vestibular schwannoma resection: illustrative case"],"prefix":"10.3171","volume":"7","author":[{"given":"Paurush","family":"Pasricha","sequence":"first","affiliation":[{"name":"Department of Neurosurgery and Gamma Knife Radiosurgery, P. D. Hinduja National Hospital and Medical Research Center, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alay V","family":"Khandhar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Gamma Knife Radiosurgery, P. D. Hinduja National Hospital and Medical Research Center, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basant K","family":"Misra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Gamma Knife Radiosurgery, P. D. Hinduja National Hospital and Medical Research Center, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"6","key":"b1","series-title":"Surg Neurol","first-page":"577","article-title":"Vasospasm after cranial base tumor resection: pathogenesis, diagnosis, and therapy","volume":"52","author":"Bejjani GK","year":"1999","unstructured":"Bejjani GK, Sekhar LN, Yost AM, Bank WO, Wright DC Vasospasm after cranial base tumor resection: pathogenesis, diagnosis, and therapy. Surg Neurol. 1999;52(6):577\u2013584."},{"issue":"13","key":"b2","series-title":"J Neurosurg Case Lessons","first-page":"CASE21492","article-title":"Symptomatic cerebral vasospasm following posterior fossa hemangioblastoma resection: illustrative case","volume":"3","author":"Hiwase AD","year":"2022","unstructured":"Hiwase AD, Kalyanasundaram K, Bak VS, Laden SM, Ovenden CD, Wells AJ Symptomatic cerebral vasospasm following posterior fossa hemangioblastoma resection: illustrative case. J Neurosurg Case Lessons. 2022;3(13):CASE21492."},{"key":"b3","series-title":"Schweiz Med Wochenschr","first-page":"961","article-title":"A contribution to the problem of cerebral angiospastic insult","volume":"90","author":"Krayenbuehl H","year":"1960","unstructured":"Krayenbuehl H A contribution to the problem of cerebral angiospastic insult. Article in German. Schweiz Med Wochenschr. 1960;90:961\u2013965."},{"issue":"5","key":"b4","series-title":"J Neurointerv Surg","first-page":"413","article-title":"Cerebral vasospasm following tumor resection","volume":"5","author":"Alotaibi NM","year":"2013","unstructured":"Alotaibi NM, Lanzino G Cerebral vasospasm following tumor resection. J Neurointerv Surg. 2013;5(5):413\u2013418."},{"issue":"1","key":"b5","series-title":"Surg Neurol","first-page":"38","article-title":"Vasospasm after acoustic neuroma removal","volume":"23","author":"de Almeida GM","year":"1985","unstructured":"de Almeida GM, Bianco E, Souza AS Vasospasm after acoustic neuroma removal. Surg Neurol. 1985;23(1):38\u201340."},{"issue":"1","key":"b6","series-title":"Surg Neurol","first-page":"25","article-title":"Symptomatic cerebral vasospasm following tumor resection: report of two cases","volume":"36","author":"LeRoux PD","year":"1991","unstructured":"LeRoux PD, Haglund MM, Mayberg MR, Winn HR Symptomatic cerebral vasospasm following tumor resection: report of two cases. Surg Neurol. 1991;36(1):25\u201331."},{"issue":"4","key":"b7","series-title":"Br J Neurosurg","first-page":"541","article-title":"Diffuse cerebral vasospasm following resection of a hypoglossal schwannoma in a child","volume":"28","author":"Afshari FT","year":"2014","unstructured":"Afshari FT, Fitzgerald JJ, Higgins JN, Garnett MR, Fernandes HM, Santarius T Diffuse cerebral vasospasm following resection of a hypoglossal schwannoma in a child. Br J Neurosurg. 2014;28(4):541\u2013543."},{"key":"b8","series-title":"Neuropsychiatr Dis Treat","first-page":"317","article-title":"Diffuse cerebral vasospasm after resection of schwannoma: a case report","volume":"11","author":"Qi J","year":"2015","unstructured":"Qi J, Zhang L, Jia W, Zhang J, Wu Z Diffuse cerebral vasospasm after resection of schwannoma: a case report. Neuropsychiatr Dis Treat. 2015;11:317\u2013320."},{"issue":"1","key":"b9","series-title":"Neurosurgery","first-page":"1","article-title":"Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning","volume":"6","author":"Fisher CM","year":"1980","unstructured":"Fisher CM, Kistler JP, Davis JM Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. 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J Neurosurg. 1976;44(5):594\u2013600."},{"issue":"9","key":"b12","series-title":"Stroke","first-page":"2005","article-title":"Effect of age on cerebral blood flow velocity and incidence of vasospasm after aneurysmal subarachnoid hemorrhage","volume":"32","author":"Torbey MT","year":"2001","unstructured":"Torbey MT, Hauser TK, Bhardwaj A,  Effect of age on cerebral blood flow velocity and incidence of vasospasm after aneurysmal subarachnoid hemorrhage. Stroke. 2001;32(9):2005\u20132011."},{"issue":"6","key":"b13","series-title":"J Neurosurg","first-page":"972","article-title":"Vasospasm after pituitary surgery","volume":"58","author":"Mawk JR","year":"1983","unstructured":"Mawk JR Vasospasm after pituitary surgery. J Neurosurg. 1983;58(6):972."},{"issue":"2","key":"b14","series-title":"J Neurosurg","first-page":"229","article-title":"Vasospasm following transcranial removal of large pituitary adenomas. 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J Neurosurg. 1974;40(4):473\u2013479."},{"issue":"5","key":"b16","series-title":"Surg Neurol","first-page":"521","article-title":"Symptomatic vasospasm after resection of a suprasellar pilocytic astrocytoma: case report and possible pathogenesis","volume":"51","author":"Chang SD","year":"1999","unstructured":"Chang SD, Yap OW, Adler JR Jr. Symptomatic vasospasm after resection of a suprasellar pilocytic astrocytoma: case report and possible pathogenesis. Surg Neurol. 1999;51(5):521\u2013527."},{"issue":"1-3","key":"b17","series-title":"Acta Neurochir (Wien)","first-page":"53","article-title":"Vasospasm after resection of skull base tumors","volume":"132","author":"Aoki N","year":"1995","unstructured":"Aoki N, Origitano TC, al-Mefty O Vasospasm after resection of skull base tumors. Acta Neurochir (Wien). 1995;132(1-3):53\u201358."},{"issue":"5","key":"b18","series-title":"J Neurosurg","first-page":"1179","article-title":"Transcorneal stimulation of trigeminal nerve afferents to increase cerebral blood flow in rats with cerebral vasospasm: a noninvasive method to activate the trigeminovascular reflex","volume":"97","author":"Atalay B","year":"2002","unstructured":"Atalay B, Bolay H, Dalkara T, Soylemezoglu F, Oge K, Ozcan OE Transcorneal stimulation of trigeminal nerve afferents to increase cerebral blood flow in rats with cerebral vasospasm: a noninvasive method to activate the trigeminovascular reflex. J Neurosurg. 2002;97(5):1179\u20131183."},{"issue":"991","key":"b19","series-title":"Br J Radiol","first-page":"e135","article-title":"Intracranial vasospasm with delayed ischaemic deficit following epidermoid cyst resection","volume":"83","author":"Aw D","year":"2010","unstructured":"Aw D, Aldwaik MA, Taylor TR, Gaynor C Intracranial vasospasm with delayed ischaemic deficit following epidermoid cyst resection. Br J Radiol. 2010;83(991):e135\u2013e137."},{"issue":"4","key":"b20","series-title":"Ital J Neurol Sci","first-page":"291","article-title":"Vasospasm following tumor removal: report of 5 cases","volume":"17","author":"Cervoni L","year":"1996","unstructured":"Cervoni L, Salvati M, Santoro A Vasospasm following tumor removal: report of 5 cases. Ital J Neurol Sci. 1996;17(4):291\u2013294."},{"key":"b21","series-title":"Clin Neurol Neurosurg","first-page":"106482","article-title":"Symptomatic cerebral vasospasm following resection of skull base tumors: case report and literature review","volume":"202","author":"Pan J","year":"2021","unstructured":"Pan J, Levitt MR, Ferreira M Jr, Sekhar LN Symptomatic cerebral vasospasm following resection of skull base tumors: case report and literature review. Clin Neurol Neurosurg. 2021;202:106482."},{"issue":"1","key":"b22","series-title":"Neurocrit Care","first-page":"84","article-title":"Symptomatic cerebral vasospasm following resection of a medulloblastoma in a child","volume":"18","author":"Rao VK","year":"2013","unstructured":"Rao VK, Haridas A, Nguyen TT, Lulla R, Wainwright MS, Goldstein JL Symptomatic cerebral vasospasm following resection of a medulloblastoma in a child. 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J Neurosurg Case Lessons. 2022;3(13):CASE21492."},{"key":"b3","series-title":"Schweiz Med Wochenschr","first-page":"961","article-title":"A contribution to the problem of cerebral angiospastic insult","volume":"90","author":"Krayenbuehl H","year":"1960","unstructured":"Krayenbuehl H A contribution to the problem of cerebral angiospastic insult. Article in German. Schweiz Med Wochenschr. 1960;90:961\u2013965."},{"issue":"5","key":"b4","series-title":"J Neurointerv Surg","first-page":"413","article-title":"Cerebral vasospasm following tumor resection","volume":"5","author":"Alotaibi NM","year":"2013","unstructured":"Alotaibi NM, Lanzino G Cerebral vasospasm following tumor resection. J Neurointerv Surg. 2013;5(5):413\u2013418."},{"issue":"1","key":"b5","series-title":"Surg Neurol","first-page":"38","article-title":"Vasospasm after acoustic neuroma removal","volume":"23","author":"de Almeida GM","year":"1985","unstructured":"de Almeida GM, Bianco E, Souza AS Vasospasm after acoustic neuroma removal. Surg Neurol. 1985;23(1):38\u201340."},{"issue":"1","key":"b6","series-title":"Surg Neurol","first-page":"25","article-title":"Symptomatic cerebral vasospasm following tumor resection: report of two cases","volume":"36","author":"LeRoux PD","year":"1991","unstructured":"LeRoux PD, Haglund MM, Mayberg MR, Winn HR Symptomatic cerebral vasospasm following tumor resection: report of two cases. Surg Neurol. 1991;36(1):25\u201331."},{"issue":"4","key":"b7","series-title":"Br J Neurosurg","first-page":"541","article-title":"Diffuse cerebral vasospasm following resection of a hypoglossal schwannoma in a child","volume":"28","author":"Afshari FT","year":"2014","unstructured":"Afshari FT, Fitzgerald JJ, Higgins JN, Garnett MR, Fernandes HM, Santarius T Diffuse cerebral vasospasm following resection of a hypoglossal schwannoma in a child. Br J Neurosurg. 2014;28(4):541\u2013543."},{"key":"b8","series-title":"Neuropsychiatr Dis Treat","first-page":"317","article-title":"Diffuse cerebral vasospasm after resection of schwannoma: a case report","volume":"11","author":"Qi J","year":"2015","unstructured":"Qi J, Zhang L, Jia W, Zhang J, Wu Z Diffuse cerebral vasospasm after resection of schwannoma: a case report. Neuropsychiatr Dis Treat. 2015;11:317\u2013320."},{"issue":"1","key":"b9","series-title":"Neurosurgery","first-page":"1","article-title":"Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning","volume":"6","author":"Fisher CM","year":"1980","unstructured":"Fisher CM, Kistler JP, Davis JM Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery. 1980;6(1):1\u20139."},{"issue":"5","key":"b10","series-title":"Surg Neurol","first-page":"472","article-title":"Hypothalamic dysfunction and intracranial arterial spasms","volume":"4","author":"Wilkins RH","year":"1975","unstructured":"Wilkins RH Hypothalamic dysfunction and intracranial arterial spasms. Surg Neurol. 1975;4(5):472\u2013480."},{"issue":"5","key":"b11","series-title":"J Neurosurg","first-page":"594","article-title":"Cerebral arterial spasm. Part 5: in\u00a0vitro contractile activity of vasoactive agents including human CSF on human basilar and anterior cerebral arteries","volume":"44","author":"Allen GS","year":"1976","unstructured":"Allen GS, Gross CJ, French LA, Chou SN Cerebral arterial spasm. Part 5: in\u00a0vitro contractile activity of vasoactive agents including human CSF on human basilar and anterior cerebral arteries. J Neurosurg. 1976;44(5):594\u2013600."},{"issue":"9","key":"b12","series-title":"Stroke","first-page":"2005","article-title":"Effect of age on cerebral blood flow velocity and incidence of vasospasm after aneurysmal subarachnoid hemorrhage","volume":"32","author":"Torbey MT","year":"2001","unstructured":"Torbey MT, Hauser TK, Bhardwaj A,  Effect of age on cerebral blood flow velocity and incidence of vasospasm after aneurysmal subarachnoid hemorrhage. Stroke. 2001;32(9):2005\u20132011."},{"issue":"6","key":"b13","series-title":"J Neurosurg","first-page":"972","article-title":"Vasospasm after pituitary surgery","volume":"58","author":"Mawk JR","year":"1983","unstructured":"Mawk JR Vasospasm after pituitary surgery. J Neurosurg. 1983;58(6):972."},{"issue":"2","key":"b14","series-title":"J Neurosurg","first-page":"229","article-title":"Vasospasm following transcranial removal of large pituitary adenomas. Report of three cases","volume":"50","author":"Mawk JR","year":"1979","unstructured":"Mawk JR, Ausman JI, Erickson DL, Maxwell RE Vasospasm following transcranial removal of large pituitary adenomas. Report of three cases. J Neurosurg. 1979;50(2):229\u2013232."},{"issue":"4","key":"b15","series-title":"J Neurosurg","first-page":"473","article-title":"The production of intracranial vascular spasm by hypothalamic extract","volume":"40","author":"Wilson JL","year":"1974","unstructured":"Wilson JL, Feild JR The production of intracranial vascular spasm by hypothalamic extract. J Neurosurg. 1974;40(4):473\u2013479."},{"issue":"5","key":"b16","series-title":"Surg Neurol","first-page":"521","article-title":"Symptomatic vasospasm after resection of a suprasellar pilocytic astrocytoma: case report and possible pathogenesis","volume":"51","author":"Chang SD","year":"1999","unstructured":"Chang SD, Yap OW, Adler JR Jr. Symptomatic vasospasm after resection of a suprasellar pilocytic astrocytoma: case report and possible pathogenesis. 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J Neurosurg. 2002;97(5):1179\u20131183."},{"issue":"991","key":"b19","series-title":"Br J Radiol","first-page":"e135","article-title":"Intracranial vasospasm with delayed ischaemic deficit following epidermoid cyst resection","volume":"83","author":"Aw D","year":"2010","unstructured":"Aw D, Aldwaik MA, Taylor TR, Gaynor C Intracranial vasospasm with delayed ischaemic deficit following epidermoid cyst resection. Br J Radiol. 2010;83(991):e135\u2013e137."},{"issue":"4","key":"b20","series-title":"Ital J Neurol Sci","first-page":"291","article-title":"Vasospasm following tumor removal: report of 5 cases","volume":"17","author":"Cervoni L","year":"1996","unstructured":"Cervoni L, Salvati M, Santoro A Vasospasm following tumor removal: report of 5 cases. 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