Perianesthetic management in a teenager with focal cortical dysplasia who underwent an epilepsy surgery

Boon Tat Yeap; Thai Hau Koo; Song Yee Ang; Mohamad Hasyizan Hassan

doi:10.13181/mji.cr.257555

Authors

Boon Tat Yeap Department of Anaesthesiology and Intensive Care, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
Thai Hau Koo Department of Internal Medicine, School of Medical Sciences, Hospital Pakar Universiti Sains Malaysia, Kubang Kerian, Malaysia
Song Yee Ang Department of Neurosciences, School of Medical Sciences, Hospital Universiti Sains Malaysia, Kubang Kerian, Malaysia
Mohamad Hasyizan Hassan Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Hospital Universiti Sains Malaysia, Kubang Kerian, Malaysia

DOI:

https://doi.org/10.13181/mji.cr.257555

Keywords:

anesthesia, epilepsy, focal cortical dysplasia, surgery

Abstract

Medically resistant epilepsy (MRE) is defined as the failure of adequate trials of 2 tolerated and appropriately used antiepileptic drugs to achieve sustained seizure freedom, where epilepsy surgery (ES) is indicated in patients with MRE due to complex epileptic syndromes, such as Lennox-Gastaut and Sturge-Weber syndromes, and focal cortical dysplasia (FCD), to disconnect the epileptogenic foci from other cerebral structures. ES demands excruciating perianesthetic considerations due to its complexity and various pharmacological interactions. Our patient is a 15-year-old male with MRE secondary to FCD. He successfully underwent ES in our neurosurgical center. We describe our perianesthetic challenges in addition to a brief overview of MRE and FCD.

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