Medical management for neurosurgical related seizures
- PMID: 28847180
- DOI: 10.1080/14656566.2017.1373092
Medical management for neurosurgical related seizures
Abstract
Seizures or chronic epilepsy are a relatively common occurrence in a neurosurgical setting. However, seizure treatment after neurosurgery has received less attention compared with other causes and only few data are availaible in the literature on management in neurosurgical patients. Areas covered: This paper reviews the availaible data on the risk of seizures in patients undergoing neurosurgery and discusses the role of antiseizure therapy in the management of the postoperative period. Finally, some controversial issues on this topic are addressed. Expert opinion: Despite the studies so far published on this topic, there are still no guidelines for the clinical practice. International recommendations do not generally support the use of antiseizure drugs in postsurgical patients. Nevertheless, their use still remains wide in the routine practice. Initiation of a treatment should be considered when the risk for prolonged seizures or chronic epilepsy is high and the risk of toxicity is acceptable. First generation antiseizures drugs seem to be quite effective although new drugs are associated with lower adverse effects risk and better tolerability.
Keywords: Treatment; antiseizure drugs; craniotomy; neurosurgical related seizures; seizures.
Similar articles
-
Incidence and management of late postsurgical seizures in clinical practice.Turk Neurosurg. 2012;22(5):651-5. doi: 10.5137/1019-5149.JTN.6084-12.0. Turk Neurosurg. 2012. PMID: 23015346
-
[Antiepileptic prophylaxis for elective neurosurgery].Ann Fr Anesth Reanim. 2012 Oct;31(10):e235-46. doi: 10.1016/j.annfar.2012.08.004. Epub 2012 Sep 19. Ann Fr Anesth Reanim. 2012. PMID: 22999445 Review. French.
-
Anticonvulsant prophylaxis for brain tumor surgery: determining the current best available evidence.J Neurosurg. 2014 Nov;121(5):1139-47. doi: 10.3171/2014.7.JNS132829. Epub 2014 Aug 29. J Neurosurg. 2014. PMID: 25170671 Review.
-
The Prophylactic Use of Antiepileptic Drugs in Patients Scheduled for Neurosurgery.Curr Pharm Des. 2017;23(42):6411-6427. doi: 10.2174/1381612823666171027125408. Curr Pharm Des. 2017. PMID: 29076422 Review.
-
Neurologist vs the neurosurgeons: who is the NICEst? The medical management of the neurosurgical patient with seizures.Br J Neurosurg. 2011 Apr;25(2):253-60. doi: 10.3109/02688697.2010.522741. Epub 2010 Dec 15. Br J Neurosurg. 2011. PMID: 21158506 Review.
Cited by
-
Functional outcome in patients with traumatic or hemorrhagic brain injuries undergoing decompressive craniectomy versus craniotomy and 6-month rehabilitation.Sci Rep. 2023 Jun 30;13(1):10624. doi: 10.1038/s41598-023-37747-0. Sci Rep. 2023. PMID: 37391549 Free PMC article.
-
Does Adjustment of Antiseizure Medication Regimen after Failed Epilepsy Surgery Improve Outcomes?Medicina (Kaunas). 2023 Apr 18;59(4):785. doi: 10.3390/medicina59040785. Medicina (Kaunas). 2023. PMID: 37109743 Free PMC article.
-
Seizure Risk following Open and Expanded Endoscopic Endonasal Approaches for Intradural Skull Base Tumors.J Neurol Surg B Skull Base. 2020 Dec;81(6):673-679. doi: 10.1055/s-0039-1694968. Epub 2019 Aug 27. J Neurol Surg B Skull Base. 2020. PMID: 33381372 Free PMC article.
-
Understanding Childhood Neuroimmune Diseases of the Central Nervous System.Front Pediatr. 2019 Dec 19;7:511. doi: 10.3389/fped.2019.00511. eCollection 2019. Front Pediatr. 2019. PMID: 31921724 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
