Open AccessAnesthetic considerations for stereotactic electroencephalography implantation
Author(s) -
Rajkalyan Chakrabarti,
Anurag Tewari,
Shilpa Rao,
Rafi Avitsian
Publication year - 2019
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/joacp.joacp_342_18
Subject(s) - medicine , anesthetic , electroencephalography , stereoelectroencephalography , anesthesia , intensive care medicine , epilepsy surgery , psychiatry
The refractory seizures have significant impact on the quality of life and increase long term neurologic and non-neurologic complications. Implantation of Stereotactic Electroencephalography (SEEG) leads is one of the newer surgical techniques intended to localize seizure foci with higher accuracy than the conventional methods. Most of the commonly utilized anesthetic agents depress EEG waveforms affecting intra operative monitoring during these surgeries. Hence, the anesthetic goals include a stable induction and maintenance with agents which have minimal effect on EEG. This article discusses the peri-operative considerations of multiple anti-epileptic medications, recent advances in anesthetic management, and important post-operative concerns.