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在全身麻醉下进行手术期间的发作没有被EEG检测到:一个案例报告

Sumanya Kumar¹, Alexander J Rodriguez², Mark A Burbridge²

¹Anesthesiology, University of Connecticut School of Medicine, Farmington, USA.

|September 4, 2023

概括

由于电极放置问题,在全身麻醉下进行的手术内发作可能会被脑电图 (EEG) 遗漏. 即使EEG确认延迟,迅速治疗发作至关重要.

科学领域:

神经学神经学
麻醉学麻醉学
神经外科神经外科

背景情况:

在全身麻醉期间的手术内发作很少发生,但有可能发生.
持续的脑电图 (EEG) 监测是检测活动的标准.

研究的目的:

描述一个错过的手术内发作的情况,原因是EEG位的限制.
突出认识到发作表现的重要性以及手术内神经监测的潜在陷.

主要方法:

一个39岁的女性经历了右额头脑瘤切除的病例报告.
术内神经监测包括EEG,体感唤起潜能 (SSEP) 和跨肌运动唤起潜能 (MEP).
在ICU中的术后EEG.

主要成果:

患者在手术期间表现出发作的运动表现.
术内EEG未能检测到活动,原因是前一次脑膜切除术导致的头骨缺陷上的电极放置不足.
手术后EEG证实了经典的活动.

结论:

在EEG电极放置的限制可以导致错过的手术内发作.
麻醉科医生必须意识到这些局限性,并紧急治疗疑似发作,即使使用非诊断性EEG.
对发作表现的临床识别对于及时干预至关重要.

关键词:

麻醉是一种麻醉.一个看不见的眼睛在手术内进行的手术.普罗波福尔 (Propofol) 是一种发作发作发作

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