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Posterior Fossa Syndrome Secondary to Ruptured Cerebellar Arteriovenous Malformation A Case Report

Author

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  • Asiri A
  • Alnaami I

    (Department of Neurosurgery, Aseer Central hospital, Saudi Arabia
    Department of Neurosurgery, King Khalid University, Saudi Arabia)

Abstract

Posterior Fossa Syndrome (PFS) is well known surgical complication of posterior fossa pathologies, mainly in pediatrics group. We report 10 years old girl who presented with sudden onset of headache, vomiting and decrease in level of consciousness. Upon arrival to emergency department, her GCS was 7/15. Patient was resuscitated and intubated. Initial brain CT revealed IVH with large volume cerebellar hemorrhage on the left lateral hemisphere extending to the vermis and associated hydrocephalus. CT angiography showed large cerebellar AVM. Patient was admitted to PICU and an external ventricular drainage was inserted. Few days later, she underwent cerebral angiography and embolization of AVM with 80% obliteration rate. After extubation, patient showed symptoms and signs of PFS that lasted six weeks before she returned gradually to her normal status. To our best knowledge, this is the second case with ruptured cerebellar AVM that was followed by FPS. The exact mechanism remains unclear.

Suggested Citation

  • Asiri A & Alnaami I, 2017. "Posterior Fossa Syndrome Secondary to Ruptured Cerebellar Arteriovenous Malformation A Case Report," Open Access Journal of Neurology & Neurosurgery, Juniper Publishers Inc., vol. 2(5), pages 82-83, March.
    • Handle: RePEc:adp:joajnn:v:2:y:2017:i:5:p:82-83
    DOI: 10.19080/OAJNN.2017.02.555597
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