Document Detail

Transient symptomatic vasospasm following antero-mesial temporal lobectomy for refractory epilepsy.
MedLine Citation:
PMID:  19415179     Owner:  NLM     Status:  MEDLINE    
RATIONALE: Arterial vasospasm has rarely been reported following temporal lobectomy for intractable epilepsy.
CASE PRESENTATION: A 31-year-old patient presented with a global aphasia 2 days after a left dominant anteromesial temporal lobectomy for intractable epilepsy. Magnetic resonance imaging on 5th post-operative day revealed severe narrowing of M1 segment of the left middle cerebral artery (MCA) and Transcranial Doppler (TCD) ultrasonography an increased velocity of the MCA that suggested a severe vasospasm. The patient received continuous intravenous hyperhydratation and nimodipine; aphasia improved within 24 h and resolved completely within 6 weeks, associated with velocity reduction on control TCD.
CONCLUSION: Transient vasospasm is a likely underestimated cause of focal deficit following temporomesial resection that deserves appropriate treatment.
E Mandonnet; F Chassoux; O Naggara; F X Roux; B Devaux
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-05
Journal Detail:
Title:  Acta neurochirurgica     Volume:  151     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-06-14     Completed Date:  2011-01-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  1723-6     Citation Subset:  IM    
Department of Neurosurgery, Centre Hospitalier Sainte-Anne, Paris, France.
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MeSH Terms
Cerebral Arteries / pathology
Epilepsy, Temporal Lobe / pathology,  surgery*
Neurosurgical Procedures / adverse effects*,  methods
Postoperative Complications / etiology*,  pathology
Temporal Lobe / pathology,  surgery*
Treatment Outcome
Vasospasm, Intracranial / etiology*,  pathology

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