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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Format: | Article |
Language: | English |
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BMC
2010-05-01
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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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institution | Directory Open Access Journal |
issn | 1752-1947 |
language | English |
last_indexed | 2024-12-12T10:15:13Z |
publishDate | 2010-05-01 |
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series | Journal of Medical Case Reports |
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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