Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report

<p>Abstract</p> <p>Introduction</p> <p>To the best of our knowledge, the association between air travel and intra-tumoral hemorrhage in pediatric populations has never been described previously.</p> <p>Case presentation</p> <p>We report the case...

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Main Authors: El Khashab Mostafa, Nejat Farideh, Baradaran Nima, Mahdavi Ali, Monajemzadeh Maryam
Format: Article
Language:English
Published: BMC 2010-05-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/4/1/143
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author El Khashab Mostafa
Nejat Farideh
Baradaran Nima
Mahdavi Ali
Monajemzadeh Maryam
author_facet El Khashab Mostafa
Nejat Farideh
Baradaran Nima
Mahdavi Ali
Monajemzadeh Maryam
author_sort El Khashab Mostafa
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>To the best of our knowledge, the association between air travel and intra-tumoral hemorrhage in pediatric populations has never been described previously.</p> <p>Case presentation</p> <p>We report the case of a two-and-a-half-year-old Caucasian, Iranian boy with a hemorrhaging brain tumor. He had a posterior fossa midline mass and severe hydrocephalus. He had been shunted for hydrocephalus four weeks earlier and was subsequently referred to our center for further treatment. The hemorrhage occurred in an infra-tentorial ependymoma, precipitated by an approximately 700-mile air journey at a maximum altitude of 25,000 feet.</p> <p>Conclusions</p> <p>A pre-existing intra-cranial mass lesion diminishes the ability of the brain to accommodate the mild environmental disturbances caused by hypercarbia, increased venous pressure and reduced cerebral blood flow during long air journeys. This is supported by a literature review, based on our current knowledge of physiological changes during air travel.</p>
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spelling doaj.art-d1d64fa71e47460ba41c50acd3a6f9a12022-12-22T00:27:42ZengBMCJournal of Medical Case Reports1752-19472010-05-014114310.1186/1752-1947-4-143Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case reportEl Khashab MostafaNejat FaridehBaradaran NimaMahdavi AliMonajemzadeh Maryam<p>Abstract</p> <p>Introduction</p> <p>To the best of our knowledge, the association between air travel and intra-tumoral hemorrhage in pediatric populations has never been described previously.</p> <p>Case presentation</p> <p>We report the case of a two-and-a-half-year-old Caucasian, Iranian boy with a hemorrhaging brain tumor. He had a posterior fossa midline mass and severe hydrocephalus. He had been shunted for hydrocephalus four weeks earlier and was subsequently referred to our center for further treatment. The hemorrhage occurred in an infra-tentorial ependymoma, precipitated by an approximately 700-mile air journey at a maximum altitude of 25,000 feet.</p> <p>Conclusions</p> <p>A pre-existing intra-cranial mass lesion diminishes the ability of the brain to accommodate the mild environmental disturbances caused by hypercarbia, increased venous pressure and reduced cerebral blood flow during long air journeys. This is supported by a literature review, based on our current knowledge of physiological changes during air travel.</p>http://www.jmedicalcasereports.com/content/4/1/143
spellingShingle El Khashab Mostafa
Nejat Farideh
Baradaran Nima
Mahdavi Ali
Monajemzadeh Maryam
Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report
Journal of Medical Case Reports
title Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report
title_full Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report
title_fullStr Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report
title_full_unstemmed Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report
title_short Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report
title_sort sudden deterioration due to intra tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight a case report
url http://www.jmedicalcasereports.com/content/4/1/143
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