Status Epilepticus Following General Anesthesia in an Unrecognized Epilepsy Patient.
10.4097/kjae.2000.39.1.145
- Author:
Jun Hak LEE
1
;
Seung Ju HONG
;
Su Jong LEE
;
Ki Nam LEE
;
Jun Il MOON
Author Information
1. Department of Anesthesiology, Presbyterian Medical Center, Chonju, Korea.
- Publication Type:Case Report
- Keywords:
Brain: epilepsy;
status epilepticus;
Complications: postoperative
- MeSH:
Adult;
Anesthesia;
Anesthesia, General*;
Compliance;
Consciousness;
Emergencies;
Epilepsy*;
Humans;
Postoperative Period;
Recurrence;
Seizures;
Status Epilepticus*;
Urinary Bladder
- From:Korean Journal of Anesthesiology
2000;39(1):145-149
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epileptic patients, who may be deprived of antiepileptic medication, are subject to stimuli that can result in seizures in the postoperative period. Status epilepticus is defined as a continuous seizure that lasts more than 30 minutes or serial seizures in which the patient does not regain a premorbid level of consciousness. Status epilepticus is considered a serious neurologic emergency that requires immediate recognition and prompt treatment to avoid life-threatening complications. We report a case in which status epilepticus developed unexpectedly after several recurrences of generalized convulsions on a 39 year old man who underwent the emergency repair of a bladder perforation. We should consider the influence of poor antiepileptic drug compliance on the precipitation of epileptic seizures when planning anesthesia for epileptic patients.