Department of Neurosurgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA.
Acta Neurochir (Wien). 2018 Sep;160(9):1883-1887. doi: 10.1007/s00701-018-3606-9. Epub 2018 Jul 10.
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.
由于动脉血管痉挛导致的脑迟发性缺血是癫痫手术后一种罕见的并发症。在此，我们报告了第三例已知病例，也是首例弥漫性血管痉挛病例。一位 48 岁女性接受了经皮质左前颞叶切除术。11 天后，她出现了新的表达性失语症，同时伴有前、中、后大脑动脉变窄，经颅多普勒检查显示流速增加。她接受了液体、尼莫地平以及允许性高血压治疗。6 个月后，她的语言功能基本恢复正常。大脑血管痉挛可能是前颞叶切除术术后发病率的一个罕见原因；我们对该主题进行了文献回顾。
