J Korean Ster Func Neurosurg.
2022 Sep;18(2):103-106. 10.52662/jksfn.2022.00241.
Total intravenous anesthesia with remimazolam in a patient with epilepsy who underwent deep brain stimulation: a case report
- Affiliations
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- 1Department of Neurology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
- 2Department of Anesthesiology and Pain Medicine, Wonju Severance Christian Hospital, Wonju, Korea
- 3Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
- KMID: 2534600
- DOI: http://doi.org/10.52662/jksfn.2022.00241
Abstract
- Drugs administered for anesthesia can trigger seizure attacks in patients with epilepsy. Benzodiazepines have been consistently reported to be anticonvulsants, and a novel benzodiazepine, remimazolam, was recently introduced. We report a case of total intravenous anesthesia maintained with remimazolam in a patient with epilepsy who underwent deep brain stimulation of both anterior thalamic nuclei. Despite the administration of multiple anti-epileptic drugs, no tolerance to remimazolam was observed. Perioperative seizures were also not observed. Remimazolam can be considered the anesthetic of choice in patients with epilepsy.
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