Intraoperative seizures during craniotomy under general anesthesia
| Autor: | Zoe Thompson, John Howe, Travis Losey, Gordon W. Peterson, Xiaoying Lu |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Intraoperative Neurophysiological Monitoring medicine.medical_treatment Anesthesia General Electroencephalography Lesion Young Adult 03 medical and health sciences Epilepsy 0302 clinical medicine Seizures 030202 anesthesiology Humans Medicine Child Intraoperative Complications Craniotomy Aged medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Neurosurgical Procedure Surgery Burst suppression Neurology Anesthesia Female Neurology (clinical) medicine.symptom business Propofol 030217 neurology & neurosurgery medicine.drug Intraoperative neurophysiological monitoring |
| Zdroj: | Seizure. 38:23-25 |
| ISSN: | 1059-1311 |
| DOI: | 10.1016/j.seizure.2016.03.010 |
| Popis: | Purpose An acute symptomatic seizure is a clinical seizure occurring at the time of or in close temporal association with a brain insult. We report an acute symptomatic seizure occurring during a surgical procedure in a patient who did not have a prior history of epilepsy and who did not have a lesion associated with an increased risk of epilepsy. To characterize the incidence and clinical features of intraoperative seizures during craniotomy under general anesthesia, we reviewed cases where continuous EEG was acquired during craniotomy. Method Records of 400 consecutive cases with propofol as general anesthesia during craniotomy were reviewed. Demographic data, indication for surgery, clinical history, history of prior seizures, duration of surgery and duration of burst suppression were recorded. Cases where seizures were observed were analyzed in detail. Results Two out of 400 patients experienced intraoperative seizures, including one patient who appeared to have an acute symptomatic seizure related to the surgical procedure itself and a second patient who experienced two seizures likely related to an underlying diagnosis of epilepsy. Conclusions This is the first report of an acute symptomatic seizure secondary to a neurosurgical procedure. Overall, 0.5% of patients monitored experienced seizures, indicating that intraoperative seizures are rare, and EEG monitoring during craniotomies is of low yield in detecting seizures. |
| Databáze: | OpenAIRE |
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