Non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-

Background Non-convulsive status epilepticus (NCSE), in which continuous epileptiform discharges occur without seizure-like movement, is rare and unfamiliar to anesthesiologists, both of which make this condition overlooked in patients with decreased levels of consciousness following general anesthe...

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Autores principales: Kyoung Ok Kim, Teakseon Lee, Taehoon Kim
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Lenguaje:EN
Publicado: Korean Society of Anesthesiologists 2021
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Acceso en línea:https://doaj.org/article/f387b4bb4c4540998eed1f608a19fdf6
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spelling oai:doaj.org-article:f387b4bb4c4540998eed1f608a19fdf62021-11-30T23:47:49ZNon-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-2005-64192005-756310.4097/kja.20527https://doaj.org/article/f387b4bb4c4540998eed1f608a19fdf62021-12-01T00:00:00Zhttp://ekja.org/upload/pdf/kja-20527.pdfhttps://doaj.org/toc/2005-6419https://doaj.org/toc/2005-7563Background Non-convulsive status epilepticus (NCSE), in which continuous epileptiform discharges occur without seizure-like movement, is rare and unfamiliar to anesthesiologists, both of which make this condition overlooked in patients with decreased levels of consciousness following general anesthesia. Case We report on an elderly female patient who developed NCSE in the immediate postoperative period after the spine surgery. Initially, delayed emergence from anesthesia was suspected, but the electroencephalogram confirmed NCSE, and anticonvulsant therapy was initiated. Conclusions Delayed emergence is commonly attributed to cerebrovascular events or residual anesthetic effects, but NCSE must be included in the differential diagnosis, especially in elderly patients. Anticonvulsant therapy should be initiated as soon as possible for a better prognosis.Kyoung Ok KimTeakseon LeeTaehoon KimKorean Society of Anesthesiologistsarticledelayed emergence from anesthesiaelectroencephalographyepilepsygeneral anesthesiapostoperative complicationsstatus epilepticusAnesthesiologyRD78.3-87.3ENKorean Journal of Anesthesiology, Vol 74, Iss 6, Pp 541-545 (2021)
institution DOAJ
collection DOAJ
language EN
topic delayed emergence from anesthesia
electroencephalography
epilepsy
general anesthesia
postoperative complications
status epilepticus
Anesthesiology
RD78.3-87.3
spellingShingle delayed emergence from anesthesia
electroencephalography
epilepsy
general anesthesia
postoperative complications
status epilepticus
Anesthesiology
RD78.3-87.3
Kyoung Ok Kim
Teakseon Lee
Taehoon Kim
Non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-
description Background Non-convulsive status epilepticus (NCSE), in which continuous epileptiform discharges occur without seizure-like movement, is rare and unfamiliar to anesthesiologists, both of which make this condition overlooked in patients with decreased levels of consciousness following general anesthesia. Case We report on an elderly female patient who developed NCSE in the immediate postoperative period after the spine surgery. Initially, delayed emergence from anesthesia was suspected, but the electroencephalogram confirmed NCSE, and anticonvulsant therapy was initiated. Conclusions Delayed emergence is commonly attributed to cerebrovascular events or residual anesthetic effects, but NCSE must be included in the differential diagnosis, especially in elderly patients. Anticonvulsant therapy should be initiated as soon as possible for a better prognosis.
format article
author Kyoung Ok Kim
Teakseon Lee
Taehoon Kim
author_facet Kyoung Ok Kim
Teakseon Lee
Taehoon Kim
author_sort Kyoung Ok Kim
title Non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-
title_short Non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-
title_full Non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-
title_fullStr Non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-
title_full_unstemmed Non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-
title_sort non-convulsive status epilepticus in the immediate postoperative period following spine surgery -a case report-
publisher Korean Society of Anesthesiologists
publishDate 2021
url https://doaj.org/article/f387b4bb4c4540998eed1f608a19fdf6
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AT teakseonlee nonconvulsivestatusepilepticusintheimmediatepostoperativeperiodfollowingspinesurgeryacasereport
AT taehoonkim nonconvulsivestatusepilepticusintheimmediatepostoperativeperiodfollowingspinesurgeryacasereport
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