Status Epilepticus Following General Anesthesia in an Unrecognized Epilepsy Patient

2000 ◽  
Vol 39 (1) ◽  
pp. 145
Author(s):  
Jun Hak Lee ◽  
Seung Ju Hong ◽  
Su Jong Lee ◽  
Ki Nam Lee ◽  
Jun Il Moon
1998 ◽  
Vol 35 (2) ◽  
pp. 360 ◽  
Author(s):  
Jeong Suk Kim ◽  
Young Saeng Kim ◽  
Sung Du Cho ◽  
Nam Woen Song

2019 ◽  
Vol 8 (1) ◽  
pp. 41-43
Author(s):  
Kashyap Narsingh Shakya ◽  
Anwesh Bhatta ◽  
Samjhana Phuyal ◽  
Arbind Yadav

Refractory status epilepticus, with persistence of seizures despite initial intravenous benzodiazepine and one secondline intravenous antiepileptic drug occurs in nine percent to 44% of the patients with status epilepticus. Aggressive treatment is needed to control such seizures with drug refractoriness. A case of a 2-year-old boy treated with intravenous levetiracetam with cessation of seizures, averting the need for general anesthesia is reported. Option of using levetiracetam in refractory status epilepticus is suggested.


2003 ◽  
Vol 45 (4) ◽  
pp. 547 ◽  
Author(s):  
Jun Rho Yoon ◽  
Tae Kwan Kim ◽  
Ho Sik Moon ◽  
Si Hyun Kim ◽  
Jin Seo Kim ◽  
...  

DICP ◽  
1989 ◽  
Vol 23 (7-8) ◽  
pp. 579-581 ◽  
Author(s):  
Rodney I. Meeke ◽  
Betsy E. Soifer ◽  
Adrian W. Gelb

When conventional therapy fails in status epilepticus, general anesthesia is recommended. We present our experience with isoflurane, an inhalational anesthetic, in the management of a patient with refractory status epilepticus. The seizures were controlled with relatively small concentrations of isoflurane. Hypotension, the only adverse effect of isoflurane, was managed with fluid and dopamine infusions.


Author(s):  
Michael J. Aminoff

AbstractThe pharmacologic management of major motor status epilepticus is summarized. When general anesthesia is required, the electroencephalogram (EEG) is used for monitoring the adequacy of treatment. The EEG findings may also be important in recognizing status epilepticus and monitoring its response to treatment when this is clinically difficult, as when it occurs in comatose or pharmacologically paralyzed patients or in the context of severe brain damage. Finally, the EEG helps to clarify the nature of motor activities of uncertain basis in patients in the intensive care unit and has indicated that non-convulsive seizures or status are more common than clinically suspected in such patients.


2021 ◽  
pp. 1-3
Author(s):  
Bora Dinc ◽  
Ilker Onguc Aycan ◽  
Aslı Toylu

Propofol is an anesthetic agent commonly used for sedation and induction and/or maintenance of general anesthesia and presents an inhibitory effect on the excitatory neurotransmitters through GABA receptors. Although propofol is an agent that can be used to treat status epilepticus because of its anticonvulsant property, it may cause epileptiform convulsions, as reported in the literature. In this case report, a young patient’s epileptiform convulsions after administering a single dose of propofol injection for general anesthesia are presented. Due to uncontrolled epilepsy episodes following extubation, the patient was taken to intensive care. The patient regained consciousness, and epileptic attacks were controlled on the 4th day of intensive, was taken to the neurology service. We consider that this case is noteworthy concerning the association between propofol and epilepsy in anesthesia. Thus, this study aimed to draw attention to propofol in patients with a history of epilepsy.


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