Anesthésie pour la chirurgie de l'épilepsie [Anesthesia for epilepsy surgery]

Détails

ID Serval
serval:BIB_04C5EDE8DE61
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Anesthésie pour la chirurgie de l'épilepsie [Anesthesia for epilepsy surgery]
Périodique
Annales Françaises d'Anesthésie et de Réanimation
Auteur⸱e⸱s
Mustaki J.P., Villemure J.G., Ravussin P.
ISSN
0750-7658
Statut éditorial
Publié
Date de publication
02/2001
Peer-reviewed
Oui
Volume
20
Numéro
2
Pages
145-158
Langue
français
Notes
English Abstract Journal Article Review --- Old month value: Feb
Résumé
Epilepsy is rather common, affecting 0.5 to 2% of the population. Numerous patients, particularly those resistant to the antiepileptic therapy, can be surgically treated after a thorough evaluation. Surgery for epilepsy can be carried out either under general or local anaesthesia with sedation. This second approach is reserved for the extirpation of foci localised in motor, sensory or language areas. During the preoperative anaesthetic evaluation, two specific points have to be taken into account: the psychological aspect and the antiepileptic medication. During the procedure, an electrocorticography with or without stimulation may be indicated, particularly when a perioperative stimulation is scheduled. Low doses of volatile agents are chosen, and no curare and large doses of benzodiazepines and barbiturates. Awakening takes place on the operation table for a rapid and reliable neurological evaluation. During procedures performed under local anaesthesia, the anaesthetist must be ready at any time to intubate the patient in order to secure the airway.
Mots-clé
Anesthesia, Epilepsy/surgery, Humans
Pubmed
Web of science
Création de la notice
17/01/2008 16:20
Dernière modification de la notice
20/08/2019 12:26
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