Non-convulsive status epilepticus in the immediate postoperative period following spine surgery-a case report-

Kyoung Ok Kim, Teakseon Lee, Taehoon Kim

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Non-convulsive status epilepticus (NCSE), in which continuous epilepti-form discharges occur without seizure-like movement, is rare and unfamiliar to anesthesi-ologists, both of which make this condition overlooked in patients with decreased levels of consciousness following general anesthesia. Case: We report on an elderly female patient who developed NCSE in the immediate postoperative period after the spine surgery. Initially, delayed emergence from anesthesia was suspected, but the electroencephalogram confirmed NCSE, and anticonvulsant therapy was initiated. Conclusions: Delayed emergence is commonly attributed to cerebrovascular events or re-sidual anesthetic effects, but NCSE must be included in the differential diagnosis, especial-ly in elderly patients. Anticonvulsant therapy should be initiated as soon as possible for a better prognosis.

Original languageEnglish
Pages (from-to)541-545
Number of pages5
JournalKorean Journal of Anesthesiology
Volume74
Issue number6
DOIs
StatePublished - Dec 2021

Keywords

  • Delayed emergence from anesthesia
  • Electroencephalography
  • Epilepsy
  • General anesthesia
  • Postoperative complications
  • Status epilepticus

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