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[Enflurane anaesthesia for epileptic patients (author's transl)]
Insights
Enflurane anesthesia did not provoke seizures in patients with a history of cerebral convulsions. This study suggests that a history of seizures is not a contraindication for using enflurane during surgery.
Area of Science:
- Anesthesiology
- Neurology
Abstract:
Enflurane anaesthesia with continuous EEG-registration was given to 21 patients, aged 3 to 53 years, who had a history of cerebral convulsions. 11 patients were children up to the age of 14 years. There was no obvious changes or correlation between enflurane concentration and intraoperative EEG-findings. The registered cramp potentials were the same as those registered preceeding the operations. Provocation as a result of the enflurane anaesthesia was not observed in any patient. The anticonvulsive basic treatment preceeding the operations made the interpretation of our results difficult. The warning by some authors against the use of Enflurane anaesthesia in patients with a history of cerebral convulsions could not be confirmed. Therefore, we conclude that a history of cerebral convulsions is not a general contraindication for the use of enflurane.