Refractory Status Epilepticus After the Middle Cerebral Artery Aneurysm Clipping (a Case Report)
https://doi.org/10.23934/2223-9022-2018-7-4-366-371
Abstract
We present the management features for the refractory epileptic status in a patient after surgical treatment of unruptured cerebral aneurysm and no epileptic prehistory. The role of continuous electroencephalographic monitoring in adjusting the rate of drugs administration for general anesthesia in the treatment of this condition is also described.
About the Authors
D. A. Averyanov
Kirov Military Medical Academy
Russian Federation
Russian Federation
Averyanov Dmitry Aleksandrovich - Cand. Med. Sci., Lecturer of the Department of Anesthesiology and Resuscitation.
6 Akademika Lebedeva St., Saint-Petersburg 194044
A. V. Shchyogolev
Kirov Military Medical Academy
Russian Federation
Russian Federation
Shchyogolev Aleksey Valerianovich - Dr. Med. Scik, Professor, Chief of the Department of Anesthesiology and Resuscitation.
6 Akademika Lebedeva St., Saint-Petersburg 194044
D. V. Svistov
Kirov Military Medical Academy
Russian Federation
Russian Federation
Svistov Dmitry Vladimirovich - Cand. Med. Sci., Docent, Chief of Department of Neurosurgery.
6 Akademika Lebedeva St., Saint-Petersburg 194044
K. N. Babichev
Kirov Military Medical Academy
Russian Federation
Russian Federation
Babichev Konstantin Nikolayevich - Assistant of the Department of Neurosurgery.
6 Akademika Lebedeva St., Saint-Petersburg 194044
References
1. Al-Dorzi H.M., Alruwaita A.A., Marae B.O., et al. Incidence, risk factors and outcomes of seizures occurring after craniotomy for primary brain tumor resection. Neurosciences (Riyadh). 2017; 22(2): 107-113. PMID: 28416781. DOI: 10.17712/nsj.2017.2.20160570.
2. Gokhale S., Khan S.A., Agrawal A., et al. Levetiracetam seizure prophylaxis in craniotomy patients at high risk for postoperative seizures. Asian J Neurosurg. 2013; 8(4): 169-173. PMID: 24550999. DOI: 10.4103/1793-5482.125658.
3. Wu A.S., Trinh V.T., Suki D., et al. A prospective randomized trial of perioperative seizure prophylaxis in patients with intraparenchymal brain tumors. J Neurosurg. 2013; 118(4): 873-883. PMID: 23394340. DOI: 10.3171/2012.12.JNS111970.
4. Devarajan J., Siyam A.M., Alexopoulos A.V., et al. Non-convulsive status epilepticus in the postanesthesia care unit following meningioma excision. Can JAnaesth. 2011; 58(1): 68-73. PMID: 21061109. DOI: 10.1007/s12630-010-9405-2.
5. Al-Mefty O., Wrubel D., Haddad N. Postoperative nonconvulsive encephalopathic status: identification of a syndrome responsible for delayed progressive deterioration of neurological status after skull base surgery. Clinical article. J Neurosurg. 2009; 111(5): 1062-1068. PMID: 19326988. DOI: 10.3171/2008.12.JNS08418.
6. Aver’yanov D.A., Lukash A.A., Prokudin M.Yu., et al. Non-convulsive epileptic seizure in patient with delayed awakening after supratentorial tumor removal. Anesteziologiya i reanimatologiya. 2016; 61(2): 143-146. PMID: 27468507. DOI: 10.18821/0201-7563-2016-61-2-143-146 (In Russian).
7. Jang J.H., Song K.S., Bang J.S., et al. What Should Be Considered to Cause the Early Post-Craniotomy Seizure: Antibiotics (Cefazolin) Irrigation. J Korean NeurosurgSoc. 2015; 58(5): 462-466. PMID: 26713147. DOI: 10.3340/jkns.2015.58.5.462.
8. Sokolova E.Yu., Golovteyev A.L., Savin I.A., et al. Comatose state caused by seizure-free status epilepticus in postoperative period. Zhurnal Voprosy neyrokhirurgii im NN Burdenko. 2010; (2): 39-45. PMID: 20825081.
9. Hoh B.L., Nathoo S., Chi Y.Y., et al. Incidence of seizures or epilepsy after clipping or coiling of ruptured and unruptured cerebral aneurysms in the nationwide inpatient sample database: 2002-2007. Neurosurgery. 2011; 69(3): 644-650. PMID: 21499155. DOI: 10.1227/NEU.0b013e31821bc46d.
10. Wong J.M., Ziewacz J.E., Ho A.L., et al. Patterns in neurosurgical adverse events: open cerebrovascular neurosurgery. NeurosurgFocus. 2012; 33(5): E15. PMID: 23116095. DOI: 10.3171/2012.7.FOCUS12181.
11. Raper D.M., Kokabi N., McGee-Collett M. The efficacy of antiepileptic drug prophylaxis in the prevention of early and late seizures following repair of intracranial aneurysms. J Clin Neurosci. 2011; 18(9): 1174-1179. PMID: 21724398. DOI: 10.1016/j.jocn.2010.12.042.
12. Zeiler F.A., Kaufmann A.M., Gillman L.M., et al. Ketamine for medically refractory status epilepticus after elective aneurysm clipping. Neurocrit Care. 2013; 19(1): 119-124. PMID: 23702695. DOI: 10.1007/s12028-013-9858-6.
13. Trinka E., Cock H., Hesdorffer D., et al. A definition and classification of status epilepticus-Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015; 56(10): 1515-1523. PMID: 26336950. DOI: 10.1111/epi.13121.
14. Dobesberger J., Ristic A.J., Walser G., et al. Duration of focal complex, secondarily generalized tonic-clonic, and primarily generalized tonic-clonic seizures-A video-EEG analysis. Epilepsy Behav. 2015; 49: 111-117. PMID:25935513 DOI: 10.1016/j.yebeh.2015.03.023
15. Trinka E., Kalviainen R. 25 years of advances in the definition, classification and treatment of status epilepticus. Seizure. 2017; 44: 65 - 73. PMID: 27890484. DOI: 10.1016/j.seizure.2016.11.001.
16. Grover E.H., Nazzal Y., Hirsch L.J. Treatment of Convulsive Status Epilepticus. Curr Treat Options Neurol. 2016; 18(3): 11. PMID: 26920416. DOI: 10.1007/s11940-016-0394-5.
17. Cook A.M., Zafar M.S., Mathias S., et al. Pharmacokinetics and Clinical Utility of Valproic Acid Administered via Continuous Infusion. CNS Drugs. 2016; 30(1): 71-77. PMID: 26715390. DOI: 10.1007/s40263-015-0304-5.
18. Cock H.R.; ESETT Group. Established status epilepticus treatment trial (ESETT). Epilepsia. 2011; 52 (Suppl 8): 50-52. PMID: 21967363. DOI: 10.1111/j.1528-1167.2011.03237.x.
19. Brophy G.M., Bell R., Claassen J., et al. Guidelines for the evaluation and management of status epilepticus. Neurocrit Care. 2012; 17(1): 3-23. PMID: 22528274. DOI: 10.1007/s12028-012-9695-z.
20. Glauser Т., Shinnar Sh., Gloss D., et al. Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society. Epilepsy Curr. 2016; 16(1): 48-61. PMID: 26900382. DOI: 10.5698/1535-7597-16.1.48.
21. Krajcova A., Waldauf P., Andel M., Duska F. Propofol infusion syndrome: a structured review of experimental studies and 153 published case reports. Crit Care. 2015; 19: 398-407. PMID: 26558513. DOI: 10.1186/s13054-015-1112-5.
Review
For citations:
Averyanov D.A., Shchyogolev A.V., Svistov D.V., Babichev K.N. Refractory Status Epilepticus After the Middle Cerebral Artery Aneurysm Clipping (a Case Report). Russian Sklifosovsky Journal "Emergency Medical Care". 2018;7(4):366-371. https://doi.org/10.23934/2223-9022-2018-7-4-366-371
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