| Transient symptomatic vasospasm following antero-mesial temporal lobectomy for refractory epilepsy. | |
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MedLine Citation:
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PMID: 19415179 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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E Mandonnet; F Chassoux; O Naggara; F X Roux; B Devaux |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-05-05 |
Journal Detail:
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Title: Acta neurochirurgica Volume: 151 ISSN: 0942-0940 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2010-06-14 Completed Date: 2011-01-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: Austria |
Other Details:
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Languages: eng Pagination: 1723-6 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Centre Hospitalier Sainte-Anne, Paris, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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
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