Korean J Anesthesiol Search

CLOSE


Korean Journal of Anesthesiology 1994;27(6):649-654.
DOI: https://doi.org/10.4097/kjae.1994.27.6.649   
Postoperative Idiopathic Generalized Convulsion Conversed to Generalized Status Epilepticus Following Spinal Anesthesia.
Hye Won Lee, Seong Ho Chang
Department of Anesthesiology, College of Medicine, Korea University, Seoul, Korea.
Abstract
Generalized tonic-clonic convulsion was noted immediately after arriving at recovery room in eighteen year-old female patient who underwent an uneventful knee joint arthroscopy with spinal anesthesia. The first attack was successfully controlled with immediate treatment such as airway insertion, oxygenation and ventilation with mask, and infusion of 100 mg thiopental and 5 mg diazepam. The seizure activity changed to generalized status epilepticus after several recurrences of generalized convulsion, which was hard to control. The seizure activity was controlled by loading dose and continuous infusion of thiopental (total 1750 mg) and dilantin (total 1500 mg). A thorough diagnostic evaluation including a detailed medical investigation, neurologic physical examination, laboratory investigation with particular reference to blood chemistry test, computed tomogram, and magnetic resonance image except past history and electroencephalography (EEG) showed no abnormal findings. The patient has the past history of several attacks of idiopathic generalized convulsion in five or six year-old age and she showed generalized slow wave in EEG. No definite precipitating factor could be found in this case. But it may be vaguely suspected that the emotional stress of awakening state during operation under spinal anesthesia could have precipitated asymtomatic underlying seizure activity especially in the adolescent period even though the patient had clinically insignificant history of seizure attack.
Key Words: Idiopathic generalized convulsion; Status epilepticus; Spinal anesthesia
TOOLS
Share :
Facebook Twitter Linked In Line it
METRICS Graph View
  • 1 Crossref
  •    
  • 1,157 View
  • 7 Download


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next