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Korean Journal of Anesthesiology 2000;39(1):145-149.
DOI: https://doi.org/10.4097/kjae.2000.39.1.145   
Status Epilepticus Following General Anesthesia in an Unrecognized Epilepsy Patient.
Jun Hak Lee, Seung Ju Hong, Su Jong Lee, Ki Nam Lee, Jun Il Moon
Department of Anesthesiology, Presbyterian Medical Center, Chonju, Korea.
Abstract
Epileptic patients, who may be deprived of antiepileptic medication, are subject to stimuli that can result in seizures in the postoperative period. Status epilepticus is defined as a continuous seizure that lasts more than 30 minutes or serial seizures in which the patient does not regain a premorbid level of consciousness. Status epilepticus is considered a serious neurologic emergency that requires immediate recognition and prompt treatment to avoid life-threatening complications. We report a case in which status epilepticus developed unexpectedly after several recurrences of generalized convulsions on a 39 year old man who underwent the emergency repair of a bladder perforation. We should consider the influence of poor antiepileptic drug compliance on the precipitation of epileptic seizures when planning anesthesia for epileptic patients.
Key Words: Brain: epilepsy; status epilepticus; Complications: postoperative


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