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Acta Neurochirurgica

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10.07.2018 | Case Report - Functional Neurosurgery - Epilepsy

Diffuse vasospasm after transcortical temporal lobectomy for intractable epilepsy

verfasst von: James Charles Dickerson, Joaquin Andres Hidalgo, Zachary Stidham Smalley, James Mason Shiflett

Erschienen in: Acta Neurochirurgica | Ausgabe 9/2018

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Abstract

Cerebral delayed ischemia due to arterial vasospasm is a rare complication following epilepsy surgery. Here we report the third known case and first of diffuse vasospasm. A 48-year-old woman underwent a transcortical anterior left temporal lobectomy. Eleven days later, she had new-onset expressive aphasia with narrowing of the anterior, middle, and posterior cerebral arteries, and increased velocities via transcranial Doppler. She was treated with fluids, nimodipine, and permissive hypertension. At 6 months, her speech was near baseline. Cerebral vasospasm may represent a rare cause of morbidity after anterior temporal lobectomy; a literature review on the subject is presented.

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Titel: Diffuse vasospasm after transcortical temporal lobectomy for intractable epilepsy
verfasst von: James Charles Dickerson
Joaquin Andres Hidalgo
Zachary Stidham Smalley
James Mason Shiflett
Publikationsdatum: 10.07.2018
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 9/2018
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-018-3606-9

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Diffuse vasospasm after transcortical temporal lobectomy for intractable epilepsy

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