Effect of general anesthesia in patients with epilepsy: a population-based study.

Autor: Benish SM; Division of Epilepsy, Mayo Clinic, Rochester, MN 55905, USA., Cascino GD, Warner ME, Worrell GA, Wass CT
Jazyk: angličtina
Zdroj: Epilepsy & behavior : E&B [Epilepsy Behav] 2010 Jan; Vol. 17 (1), pp. 87-9. Date of Electronic Publication: 2009 Nov 11.
DOI: 10.1016/j.yebeh.2009.10.015
Abstrakt: General anesthesia may be required for particular diagnostic and therapeutic procedures in patients with seizure disorders. There is concern regarding the safety of anesthetic drugs in these individuals because of the reported proconvulsant effect of selected medications. Potentially, general anesthesia may be associated with perioperative seizures or increased adverse effects in people with epilepsy. The rationale for the present study was to evaluate the outcome of general anesthesia in a population-based cohort with seizure disorders undergoing interventions that were unlikely to alter the seizure tendency, for example, magnetic resonance imaging study. Seizures were observed in only 6 of 297 (2%) anesthetic procedures, and intravenous therapy was required in only one patient. None of the patients had any reported adverse effect from general anesthesia. The current findings may be useful in counseling and guiding patients with seizure disorders, their caregivers, and their guardians regarding the risk of general anesthesia.
(2009. Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: