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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2020; 7(01): S10
DOI: 10.1055/s-0040-1709595
Abstracts

Dexmedetomidine-Based Anesthesia Facilitates Intraoperative Electrocorticography in Patients with Lennox–Gastaut Syndrome Presenting for Epilepsy Surgery: Our Case Experience

Ajay P. Hrishi
1   Division of Neuroanesthesia and Neurocritical Care, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India
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Background: Electrocorticography is a useful tool to guide the localization of the epileptogenic focus, for surgical resection in epilepsy surgery. Drug interactions, proconvulsant or anticonvulsant activity of the anesthetics and anesthetic influence on intraoperative electrocorticography (ECoG) are the primary concerns to be addressed in these patients.

Case Description: We report the anesthetic management of two patients with Lennox–Gastaut syndrome presenting for respective epilepsy surgery with intraoperative ECoG. We observed that Dexmedetomidine-based anesthesia facilitates intraoperative ECoG monitoring.

Conclusion: Dexmedetomidine by decreasing the requirements of other anesthetic agents offers better recovery profile and pain relief with minimal respiratory depression in patients undergoing disconnective epilepsy surgeries.



Publication History

Article published online:
25 March 2020

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