依托咪酯麻醉诱导期间的癫痫发作。

Epileptic seizure during anaesthesia induction with etomidate.

作者信息

Sen Huseyin, Algul Ayhan, Senol Mehmet Guney, Ates Alpay, Kilic Emre, Ozkan Sezai, Dagli Guner

机构信息

Department of Anaesthesia and Reanimation, Gülhane Military Medical Academy Haydarpasa Training Hospital, Usküdar, Istanbul, Turkey.

出版信息

Middle East J Anaesthesiol. 2010 Jun;20(5):723-5.

PMID:20803863

Abstract

In this report a 20-year-old male patient who had suffered tonic-clonic seizure after a single induction dose of etomidate until a bispectral index value of 60 is presented. Our best knowledge, this case is the first report of pure etomidate (with induction dose) induced generalized tonic clonic seizure proven with EEG. Anaesthesiologists should be careful against such a complication even in the induction stage of anaesthesia during etomidate use.

摘要

本报告介绍了一名20岁男性患者，在单次诱导剂量依托咪酯给药后出现强直阵挛性发作，直至脑电双频指数值达到60。据我们所知，该病例是首例经脑电图证实的单纯依托咪酯（诱导剂量）诱发全身性强直阵挛性发作的报告。麻醉医生即使在使用依托咪酯进行麻醉诱导阶段也应警惕此类并发症。