Document Detail


Transient symptomatic vasospasm following antero-mesial temporal lobectomy for refractory epilepsy.
MedLine Citation:
PMID:  19415179     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
E Mandonnet; F Chassoux; O Naggara; F X Roux; B Devaux
Related Documents :
14719539 - Subcortical hematoma caused by cerebral amyloid angiopathy: does the first evidence of ...
17657659 - Severe reversible cerebral vasoconstriction syndrome mimicking aneurysmal rupture and v...
10642769 - Diffuse alveolar hemorrhage following administration of tirofiban or abciximab: a nemes...
20663329 - Unruptured aneurysm: vasospasm after surgery and endovascular treatment. a case report.
20642889 - The many faces of intracranial arterial dissections.
1440209 - Implications for the pathogenesis of aneurysm formation: metastatic choriocarcinoma wit...
23088509 - Impact of age and sex on carotid and peripheral arterial wall thickness in humans.
10319079 - Acute pulmonary edema associated with placement of waist-high, custom-fit compression s...
16129789 - Pergolide is an inhibitor of voltage-gated potassium channels, including kv1.5, and cau...
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    
Affiliation:
Department of Neurosurgery, Centre Hospitalier Sainte-Anne, Paris, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Cerebral Arteries / pathology
Epilepsy, Temporal Lobe / pathology,  surgery*
Humans
Male
Neurosurgical Procedures / adverse effects*,  methods
Postoperative Complications / etiology*,  pathology
Temporal Lobe / pathology,  surgery*
Treatment Outcome
Vasospasm, Intracranial / etiology*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Differences in anatomical distribution, gender, and sidedness between ruptured and unruptured intrac...
Next Document:  Combined multiple surgical intervention and chemotherapy for multicentric WHO grade II glioma : a lo...