Korean J Anesthesiol.  2007 Feb;52(2):241-244. 10.4097/kjae.2007.52.2.241.

Myoclonic Seizures Occurred during the Brain Tumor Resection in a Patient of the Recurred Malignant Meningioma of Cerebral Frontal Lobe : A case report

• Kim YH
• Yi YJ
• Kyoung MK
• Kim HS
• Mun SH
• Choi WJ

• KMID: 2236631
• DOI: http://doi.org/10.4097/kjae.2007.52.2.241

Abstract

Several suspected etiologies can cause seizures during the resection of a brain tumor via a craniotomy: the tumor itself, intracranial hypertension or the anesthetic agents used, etc. Generalized myoclonic seizures, during general anesthesia in a 44 year old man, who underwent a resection for a relapsed frontal meningioma, were experienced. Anesthesia was induced and maintained using propofol and remifentanil. The myoclonic seizures began 30 minutes after the induction of anesthesia. The administration of rocuronium was unable to stop the involuntary movement. Midazolam was given to cease the seizures, but they continued for a further 105 minutes. After opening the dura mater, the seizures immediately disappeared and did not recur thereafter.

Keyword

intracranial meningioma; intraoperative period; intravenous anesthesia; seizures

MeSH Terms

Adult
Anesthesia
Anesthesia, General
Anesthesia, Intravenous
Anesthetics
Brain Neoplasms*
Brain*
Craniotomy
Dura Mater
Dyskinesias
Frontal Lobe*
Humans
Intracranial Hypertension
Intraoperative Period
Meningioma*
Midazolam
Propofol
Seizures*
Anesthetics
Midazolam
Propofol