An 18-year-old patient developed multiple infarcts, nine days after endoscopic fenestration of a large arachnoid cyst. We consider vasospasm to be the most likely cause, presumably triggered by a chemical meningitis. Although mostly seen after subarachnoid haemorrhage, vasospasm can also occur after traumatic brain injury, brain surgery or meningitis.

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British Journal of Neurosurgery
Department of Neurosurgery

Spoor, J., Aben, H.P. (Hugo P.), Burhani, B. (Bachtiar), & Rutten, G.-J. (Geert-Jan). (2017). Delayed ischaemia due to vasospasm after fenestration of a large arachnoid cyst. British Journal of Neurosurgery, 1–3. doi:10.1080/02688697.2017.1340583