Pacreu S, Vilà E, Moltó L, Bande D, Rueda M, Fernández Candil J L
Servicio de Anestesiología y Reanimación, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
Servicio de Anestesiología y Reanimación, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
Rev Esp Anestesiol Reanim (Engl Ed). 2018 Feb;65(2):108-111. doi: 10.1016/j.redar.2017.07.011. Epub 2017 Sep 28.
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.
癫痫手术是治疗药物难治性癫痫患者的一种成熟疗法。手术的成功取决于癫痫病灶区术前的精确定位。有多种技术可用于确定其位置和范围。尽管非侵入性诊断测试有所改进，但对于这些测试结果不明确的患者，仍需要采用诸如术中皮层脑电图等侵入性技术。术中皮层脑电图用于指导癫痫病灶的手术切除，并验证切除是否完成。然而，它可能会受到麻醉医生使用的某些麻醉药物的影响。我们通过这个病例的目的是回顾哪些药物可用于术中皮层脑电图监测下的癫痫手术。
