Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Jan 1991
Review Case ReportsTransient cerebellar mutism after posterior cranial fossa surgery in an adult. Case report and review of the literature.
Transient mutism, without disorders of consciousness or cranial nerve deficits, arising after surgical operations on the posterior cranial fossa is a recently described entity. To date 22 cases have been reported, to which we add the present case (the first report of the syndrome in an adult). We review the salient features of the syndrome in the light of the published cases and speculate on the underlying physiopathology.
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Clin Neurol Neurosurg · Jan 1991
Review Case ReportsSubdural hematoma after lumbar puncture: two case reports and review of the literature.
Two cases of intracranial subdural hematoma following lumbar puncture are presented. A review of all previously reported cases shows that subdural hematoma after lumbar puncture is a rare but serious complication. The pathogenesis of subdural hematoma after lumbar puncture is probably related to that of post lumbar puncture headache. Application of an epidural blood patch may therefore be a safe way not only to treat typical post lumbar puncture headache but also to prevent subdural hematoma after lumbar puncture.
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The article reports the case history of a patient with baclofen intoxication and burst suppression activity in the EEG several hours after baclofen ingestion. With symptomatic treatment the patient recovered within 5 days and the EEG became normal, again.
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Clin Neurol Neurosurg · Jan 1991
Case ReportsPosttraumatic hyperthermia: a possible result of fronto-diencephalic dysfunction.
A patient with traumatic bifrontal hemorrhagic lesions developed hyperthermia associated with autonomic dysfunction shortly after admission. This case illustrates that posttraumatic hyperthermia may also occur at a markedly less disturbed baseline neurological level, possibly secondary to disruption of fronto-diencephalic pathways.