title: [Temporal lobectomy in cerebral infarction with mass effect].
abstract: Cerebral edema secondary to ischemia can threaten life, mainly due to frequent failure of medical management. Imminent herniation of the temporal lobe can be timely detected by clinical signs and CT-scan. Eight patients (4M, 4F; 48-74 years, mean 62) with ischemic stroke and imminent herniation, were surgically decompressed by a standard temporal lobectomy as described by Olivier for temporal lobe epilepsy. Six patients survived, two died and were considered failure of the procedure, probably due to late surgical indication. In conclusion, temporal lobectomy is life-saving for patients with large ischemic cerebral infarction with mass effect and deteriorating signs of brain stem compression.
authors.affiliation: Instituto de Neurologia de Goiânia, Brasil.
authors.forename: L F
authors.initials: LF
authors.lastname: Martins
authors.forename: V
authors.initials: V
authors.lastname: Da Costa
authors.forename: J
authors.initials: J
authors.lastname: Da Costa
authors.forename: S E
authors.initials: SE
authors.lastname: De Melo-Souza
mesh_terms: D000368:Aged; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002544:Cerebral Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013702:Temporal Lobe / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed
vernacular_title: Lobectomia temporal no infarto cerebral com efeito de massa.