title: Speech arrest after sleeping on the left body side.
abstract: Stroke like episodes can occur by cortical compression due to changes in intracranial pressure. We report a patient after left hemicraniectomy who presented transient speech arrest after sleeping on the left side. We propose that mechanical compression of the left inferior or superior frontal gyrus led to this episode similar to a major mass effect due to an unprotected brain surface after hemicraniectomy.
authors.affiliation: Department of Neurology and Institute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany. wojtecki@uni-duesseldorf.de
authors.forename: Lars
authors.initials: L
authors.lastname: Wojtecki
authors.forename: Alfons
authors.initials: A
authors.lastname: Schnitzler
mesh_terms: D000208:Acute Disease; D001037:Aphasia / Q000209:etiology*; D003251:Constriction, Pathologic / Q000150:complications; D056424:Decompressive Craniectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011187:Posture; D012890:Sleep