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Diffuse vasospasm after transcortical temporal lobectomy for intractable epilepsy

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 a...

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Bibliographic Details
Published in:Acta neurochirurgica 2018-09, Vol.160 (9), p.1883-1887
Main Authors: Dickerson, James Charles, Hidalgo, Joaquin Andres, Smalley, Zachary Stidham, Shiflett, James Mason
Format: Article
Language:English
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Summary: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.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-018-3606-9