Korean J Anesthesiol.  2000 Jul;39(1):145-149. 10.4097/kjae.2000.39.1.145.

Status Epilepticus Following General Anesthesia in an Unrecognized Epilepsy Patient

• Lee JH
• Hong SJ
• Lee SJ
• Lee KN
• Moon JI

• KMID: 2091564
• DOI: http://doi.org/10.4097/kjae.2000.39.1.145

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.

Keyword

Brain: epilepsy; status epilepticus; Complications: postoperative

MeSH Terms

Adult
Anesthesia
Anesthesia, General*
Compliance
Consciousness
Emergencies
Epilepsy*
Humans
Postoperative Period
Recurrence
Seizures
Status Epilepticus*
Urinary Bladder