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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Anaesthesia management in epilepsy surgery with intraoperative electrocorticogra...
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Vol. 65. Issue 2.
Pages 108-111 (February 2018)
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Vol. 65. Issue 2.
Pages 108-111 (February 2018)
Case report
Anaesthesia management in epilepsy surgery with intraoperative electrocorticography
Manejo anestésico en la cirugía de epilepsia con electrocorticografía intraoperatoria
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S. Pacreu
Corresponding author
94397@parcdesalutmar.cat

Corresponding author.
, E. Vilà, L. Moltó, D. Bande, M. Rueda, J.L. Fernández Candil
Servicio de Anestesiología y Reanimación, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
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Table 1. Effect of anaesthetic drugs on spontaneous epileptiform interictal activity.
Abstract

Epilepsy surgery is a well-established treatment for patients with drug-resistant epilepsy. The success of surgery depends on precise presurgical localisation of the epileptogenic zone. There are different techniques to determine its location and extension. Despite the improvements in non-invasive diagnostic tests, in patients for whom these tests are inconclusive, invasive techniques such intraoperative electrocorticography will be needed.

Intraoperative electrocorticography is used to guide surgical resection of the epileptogenic lesion and to verify that the resection has been completed. However, it can be affected by some of the anaesthetic drugs used by the anaesthesiologist. Our objective with this case is to review which drugs can be used in epilepsy surgery with intraoperative electrocorticography.

Keywords:
Drug-resistant epilepsy
Intraoperative electrocorticography
Anaesthesia
Resumen

La cirugía de la epilepsia es un tratamiento bien establecido para pacientes con epilepsia farmacorresistente. El éxito de la cirugía depende de una localización prequirúrgica precisa de la zona epileptógena. Existen diferentes técnicas para determinar su localización y extensión. A pesar de las mejoras en los tests diagnósticos no invasivos, en aquellos pacientes en los que no son concluyentes, se necesitarán técnicas más invasivas como la electrocorticografía intraoperatoria.

La electrocorticografía intraoperatoria se utiliza para guiar la resección quirúrgica de la lesión epileptógena y para comprobar que la resección ha sido completa. Sin embargo, se puede ver afectada por algunos de los fármacos anestésicos que utilizamos. Nuestro objetivo con este caso clínico es revisar qué fármacos se pueden utilizar en la cirugía de epilepsia con electrocorticografía intraoperatoria.

Palabras clave:
Epilepsia farmacorresistente
Electrocorticografía intraoperatoria
Anestesia

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