Rojas-Ávila IA, Cárdenas-España M, Cruz-Cruz EF, Velasco-Torres HS, Navarro-Bonnet J, Taylor-Martínez MA

Language: Spanish
References: 60
Page: 214-223
PDF size: 367.82 Kb.

ABSTRACT

Epilepsy is a syndrome that significantly affects the quality of life of patients. Despite multiple pharmacological treatment, 30% do not respond and will be candidates for surgical management. Anesthetic management for this type of surgery is a challenge for anesthesiologists whose role is decisive for the success of surgery that seeks to resect the greatest amount of epileptogenic tissue with the greatest preservation of functional tissue for the patient’s daily life; mapping is crucial and is performed with an electrocorticographic mesh to determine focus and areas of spread, then determine if these areas are involved with limb movement, fine movements, language, abstraction or memory, the anesthetics used can usually affect monitoring, reducing the effectiveness of the procedure, making it difficult to locate the focus. The objective of this review is to evince the most important aspects of epilepsy focused on anesthetic management.

REFERENCES

1. Perks A, Cheema S, Mohanraj R. Anaesthesia and epilepsy. Br J Anaesth. 2012; 108 (4): 562-571.

2. Carter EL, Adapa RM. Adult epilepsy and anaesthesia. BJA Educ. 2015; 15 (3): 111-117.

3. Benish SM, Cascino GD, Warner ME, Worrell GA, Wass CT. Effect of general anesthesia in patients with epilepsy: a population-based study. Epilepsy Behav. 2010; 17 (1): 87-89.

4. Grupo de Cirugía Funcional de la Sociedad Española de Neurocirugía (SENEC). Guías clínicas para la cirugía de la epilepsia y de los trastornos del movimiento. Neurocirugía. 2009; 20 (4): 329-334.

5. Marino EP, Estevez NA, Iannantuono RF. Epilepsia. Prensa Med Argent. 1982; 69 (20): 840-847.

6. Hill CS, Severgnini F, McKintosh E. How I do it: Awake craniotomy. Acta Neurochir (Wien). 2017; 159 (1): 173-176.

7. Kunieda T, Kikuchi T, Miyamoto S. Epilepsy surgery: Surgical aspects. Curr Opin Anaesthesiol. 2012; 25 (5): 533-539.

8. Nei M, O’Connor M, Liporace J, Sperling MR. Refractory generalized seizures: Response to corpus callosotomy and vagal nerve stimulation. Epilepsia. 2006; 47 (1): 115-122.

9. Erickson KM, Cole DJ. Anesthetic considerations for awake craniotomy for epilepsy and functional neurosurgery. Anesthesiol Clin. 2012; 30 (2): 241-268.

10. Shetty A, Pardeshi S, Shah VM, Kulkarni A. Anesthesia considerations in epilepsy surgery. Int J Surg. 2016; 36: 454-459.

11. León-Álvarez E. Anestesia en neurocirugía funcional en pediatría. Rev Mex Anestesiol. 2010; 33 (Suppl. 1): 122-124.

12. Kemp S, Prendergast G, Karapanagiotidis T, Baker G, Kelly TP, Patankar T et al. Concordance between the Wada test and neuroimaging lateralization: Influence of imaging modality (fMRI and MEG) and patient experience. Epilepsy Behav. 2018; 78: 155-160.

13. Doss RC, Zhang W, Risse GL, Dickens DL. Lateralizing language with magnetic source imaging: validation based on the Wada test. Epilepsia. 2009; 50 (10): 2242-2248.

14. Μguire G, El-Beheiry H, Manninen P, Lozano A, Wennberg R. Activation of electrocorticographic activity with remifentanil and alfentanil during neurosurgical excision of epileptogenic focus. Br J Anaesth. 2003; 91 (5): 651-655.

15. Pondal-Sordo M, Diosy D, Téllez-Zenteno JF, Girvin JP, Wiebe S. Epilepsy surgery involving the sensory-motor cortex. Brain. 2006; 129 (12): 3307-3314.

16. Tripathi M, Garg A, Gaikwad S, Bal CS, Chitra S, Prasad K et al. Intra-operative electrocorticography in lesional epilepsy. Epilepsy Res. 2010; 89 (1): 133-141.

17. Chui J, Manninen P, Valiante T, Venkatraghavan L. The anesthetic considerations of intraoperative electrocorticography during epilepsy surgery. Anesth Analg. 2013; 117 (2): 479-486.

18. San-Juan D, Tapia CA, González-Aragón MF, Martínez Mayorga A, Staba RJ, Alonso-Vanegas M. The prognostic role of electrocorticography in tailored temporal lobe surgery. Seizure. 2011; 20 (7): 564-569.

19. Fernández IS, Loddenkemper T. Electrocorticography for seizure foci mapping in epilepsy surgery. J Clin Neurophysiol. 2013; 30 (6): 554-570.

20. Yang T, Hakimian S, Schwartz TH. Intraoperative ElectroCorticoGraphy (ECog): indications, techniques, and utility in epilepsy surgery. Epileptic Disord. 2014; 16 (3): 271-279.

21. Bajwa SS, Jindal R. Epilepsy and nonepilepsy surgery: recent advancements in anesthesia management. Anesth Essays Res. 2013; 7 (1): 10.

22. Abd-Elsayed AA, Wehby AS, Farag E. Anesthetic management of patients with intracranial aneurysms. Ochsner J. 2014; 14 (3): 418-425.

23. San-Juan D, Chiappa KH, Cole AJ. Propofol and the electroencephalogram. Clin Neurophysiol. 2010; 121 (7): 998-1006.

24. Ziemann-Gimmel P, Goldfarb AA, Koppman J, Marema RT. Opioid-free total intravenous anaesthesia reduces postoperative nausea and vomiting in bariatric surgery beyond triple prophylaxis. Br J Anaesth. 2014; 112 (5): 906-911.

25. Manninen PH, Burke SJ, Wennberg R, Lozano AM, El Beheiry H. Intraoperative localization of an epileptogenic focus with alfentanil and fentanyl. Anesth Analg. 1999; 88 (5): 1101-1106.

26. Voss LJ, Sleigh JW, Barnard JPM, Kirsch HE. The howling cortex: seizures and general anesthetic drugs. Anesth Analg. 2008; 107 (5): 1689-1703.

27. Constant I, Sabourdin N. The EEG signal: A window on the cortical brain activity. Paediatr Anaesth. 2012; 22 (6): 539-552.

28. McAuliffe N, Nicholson S, Rigamonti A, Hare GMT, Cusimano M, Garavaglia M et al. Awake craniotomy using dexmedetomidine and scalp blocks: a retrospective cohort study. Can J Anesth. 2018; 65 (10): 1129-1137.

29. Bhaskar N, Thakkar KD, Sharma S, Hrishi AP. Dexmedetomidine for electrocorticography in patients with lennox-gastaut syndrome presenting for epilepsy surgery: a case report. A Pract. 2019; 13 (4): 148-150.

30. Chaitanya G, Arivazhagan A, Sinha S, Reddy KRM, Thennarasu K, Bharath RD et al. Dexmedetomidine anesthesia enhances spike generation during intra-operative electrocorticography: a promising adjunct for epilepsy surgery. Epilepsy Res. 2015; 109 (1): 65-71.

31. Kurita N, Kawaguchi M, Hoshida T, Nakase H, Sakaki T, Furuya H. Effects of nitrous oxide on spike activity on electrocorticogram under sevoflurane anesthesia in epileptic patients. J Neurosurg Anesthesiol. 2005; 17 (4): 199-202.

32. Iijima T, Nakamura Z, Iwao Y, Sankawa H. The epileptogenic properties of the volatile anesthetics sevoflurane and isoflurane in patients with epilepsy. Anesth Analg. 2000; 91 (4): 989-995.

33. Gibert S, Sabourdin N, Louvet N, Moutard ML, Piat V, Guye ML et al. Epileptogenic effect of sevoflurane. Anesthesiology. 2012; 117 (6): 1253-1261.

34. Constant I, Seeman R, Murat I. Sevoflurane and epileptiform EEG changes. Paediatr Anaesth. 2005; 15 (4): 266-274.

35. Watts ADJ, Herrick IA, McLachlan RS, Craen RA, Gelb AW. The effect of sevoflurane and isoflurane anesthesia on interictal spike activity among patients with refractory epilepsy. Anesth Analg. 1999; 89 (5): 1275-1281.

36. Thomas Wass C, Grady RE, James Fessler A, Cascino GD, Lozada L, Bechtle PS et al. The effects of remifentanil on epileptiform discharges during intraoperative electrocorticography in patients undergoing epilepsy surgery. Epilepsia. 2001; 42 (10): 1340-1344.

37. Elbakry AE, Ibrahim E. Propofol-dexmedetomidine versus propofol-remifentanil Conscious sedation for awake craniotomy during epilepsy surgery. Minerva Anestesiol. 2017; 83 (12): 1248-1254.

38. Tarroso Gomes MJ, Costa G, Faria J, Cunha M, Gomes A, Macieira J. Sugammadex: an important role in Steinert’s disease. Eur J Anaesthesiol. 2014; 31 (1): 153.

39. Shafiq F, Parkash J, Enam A, Khan MF, Baig T. An awake throughout approach for awake craniotomy: a perspective from a resource-limited country. World Neurosurg. 2019; 126: e1489-e1493.

40. Wang X, Wang T, Tian Z, Brogan D, Li J, Ma Y. Asleep-awake-asleep regimen for epilepsy surgery: a prospective study of target-controlled infusion versus manually controlled infusion technique. J Clin Anesth. 2016; 32: 92-100.

41. Herrick IA, Craen RA, Blume WT, Novick T, Gelb AW. Sedative doses of remifentanil have minimal effect on ECoG spike activity during awake epilepsy surgery. J Neurosurg Anesthesiol. 2002; 14 (1): 55-58.

42. Lutman B, Bloom J, Nussenblatt B, Romo V. A contemporary perspective on the management of post-craniotomy headache and pain. Curr Pain Headache Rep. 2018; 22 (10): 69.

43. Modica PA, Tempelhoff R, White PF. Pro- and anticonvulsant effects of anesthetics (Part I). Anesth Analg. 1990; 70 (3): 303-315.

44. Szelényi A, Bello L, Duffau H, Fava E, Feigl GC, Galanda M et al. Intraoperative electrical stimulation in awake craniotomy: methodological aspects of current practice. Neurosurg Focus. 2010; 28 (2): 1-8.

45. Zhang K, Gelb AW. Craneotomía en el paciente despierto: indicaciones, beneficios y técnicas. Rev Colomb Anestesiol. 2018; 46 (Suppl 1): 46-51.

46. Schramm P, Tzanova I, Goock T, Hagen F, Schmidtmann I, Engelhard K et al. Noninvasive hemodynamic measurements during neurosurgical procedures in sitting position. J Neurosurg Anesthesiol. 2017; 29 (3): 251-257.

47. Ghazanwy M, Chakrabarti R, Tewari A, Sinha A. Awake craniotomy: a qualitative review and future challenges. Saudi J Anaesth. 2014; 8 (4): 529-539.

48. Ogawa S, Okutani R, Nakada K, Suehiro K, Shigemoto T. Spike-monitoring of anaesthesia for corpus callosotomy using bilateral bispectral index. Anaesthesia. 2009; 64 (7): 776-780.

49. Meng L, McDonagh DL, Berger MS, Gelb AW. Anesthésie pour craniotomie éveillé: guide pratique pour le praticien occasionnel. Can J Anesth. 2017; 64 (5): 517-529.

50. Ban VS, Bhoja R, McDonagh DL. Multimodal analgesia for craniotomy. Curr Opin Anaesthesiol. 2019; 32 (5): 592-599.

51. Yang X, Ma J, Li K, Chen L, Dong R, Lu Y et al. A comparison of effects of scalp nerve block and local anesthetic infiltration on inflammatory response, hemodynamic response, and postoperative pain in patients undergoing craniotomy for cerebral aneurysms: a randomized controlled trial. BMC Anesthesiol. 2019; 19 (1): 1-11.

52. Abo-Zeid MA, Elmaddawy AEA, El-Fahar MH, El-Sabbagh AH. Selective scalp nerve block: a useful technique with tissue expansion in postburn pediatric alopecia. Ann Plast Surg. 2018; 80 (2): 113-120.

53. Theerth KA, Sriganesh K, Reddy KM, Chakrabarti D, Umamaheswara Rao GS. Analgesia nociception index-guided intraoperative fentanyl consumption and postoperative analgesia in patients receiving scalp block versus incision-site infiltration for craniotomy. Minerva Anestesiol. 2018; 84 (12): 1361-1368.

54. Chui J. Anesthesia for awake craniotomy: an update. Colomb J Anesthesiol. 2015; 43 (S 1): 22-28.

55. Chui J, Venkatraghavan L, Manninen P. Presurgical evaluation of patients with epilepsy: the role of the anesthesiologist. Anesth Analg. 2013; 116 (4): 881-888.

56. Venkatraghavan L, Luciano M, Manninen P. Anesthetic management of patients undergoing deep brain stimulator insertion. Anesth Analg. 2010; 110 (4): 1138-1145.

57. Greenhalgh J, Weston J, Dundar Y, Nevitt SJ, Marson AG. Antiepileptic drugs as prophylaxis for postcraniotomy seizures. Cochrane Database Syst Rev. 2018; 5 (5): CD007286.

58. Skucas AP, Artru AA. Anesthetic complications of awake craniotomies for epilepsy surgery. Anesth Analg. 2006; 102 (3): 882-887.

59. Thenuwara K. Central cord syndrome: A rare neurological complication following hypotension during general anesthesia in an elderly patient. J Neurosurg Anesthesiol. 2015; 27 (1): 76-77.

60. Kandasamy R, Tharakan J, Idris Z, Abdullah J. Intracranial bleeding following induction of anesthesia in a patient undergoing elective surgery for refractory epilepsy. Surg Neurol Int. 2013; 4 (1): 124.