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  • Title: Transient symptomatic vasospasm following antero-mesial temporal lobectomy for refractory epilepsy.
    Author: Mandonnet E, Chassoux F, Naggara O, Roux FX, Devaux B.
    Journal: Acta Neurochir (Wien); 2009 Dec; 151(12):1723-6. PubMed ID: 19415179.
    Abstract:
    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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