A complicated case of an intracranial epidermoid cyst

Intracranial vasospasm and ischaemic cerebrovascular accident (CVA) following surgical removal of intracranial tumours are rare.We report a case of ischaemic CVA and vasospasm following resection of an intracranial epidermoid cyst. Although the tumour was completely resected, vasospasm and ischaemic injury led to significant neurological deficits.Perioperative corticosteroids may be beneficial in reducing the incidence of vasospasm and ischaemic events, though their efficacy can vary.