ABSTRACT
The occurrence of crossed aphasia as a complication after temporal lobe epilepsy surgery is extremely rare. We report the case of a 47-year-old right-handed patient with drug-resistant mesial temporal lobe epilepsy (MTLE) who developed a transitory aphasic syndrome after a right temporal anterior lobectomy. This syndrome was characterized by anomia, poor verbal fluency, verbal perseveration, and verbal comprehension difficulties. He also showed writing difficulties, reading substitutions, and calculation task errors. The patient was regularly assessed with language tasks, and showed a spontaneous and progressive recovery of his symptoms, with remaining naming difficulties. We discuss the role that epileptogenic zone could play in cortical reorganization of the language systems.
Subject(s)
Anterior Temporal Lobectomy/adverse effects , Aphasia/etiology , Postoperative Complications/physiopathology , Epilepsy, Temporal Lobe/surgery , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Neuropsychological TestsABSTRACT
Se hace una revision de las necropsias practicadas en el Instituto de Medicina Legal de Medellin, durante el ano de 1985; se analizan 129 casos con fractura de pelvis; se clasifican por deda, sexo, causa, tipo de fractura, manejo, mortalidad, complicaciones y asociacion con el alcohol. La frecuencia mas elevada correspondio a los accidentes de transito y dentro de estos al grupo de paetones. El grypo etario mas comprometido en todas las causas fue el de 15-44 anos. Se hacen comentarios y se revisa la bibliografia sobre el tema.