Anesthesia for the Pediatric Patient With Epilepsy and Minimally Invasive Surgery for Epilepsy

AbstractPurpose of ReviewThis review outlines a perioperative approach to the pediatric patient with a seizure disorder and anesthesia for minimally invasive epilepsy surgical treatment.Recent FindingsSurgical interventions for epilepsy have undergone dramatic progression. Minimally invasive treatments and high-tech imaging, such as intraoperative magnetic resonance imaging (iMRI), are recent advances. Many anesthetics have epileptogenic activity and must be adjusted for an effective anesthetic. The needs for imaging techniques, moving patients in and out of computer tomography (CT) and magnetic resonance imaging (MRI) locations, require careful planning and management.SummaryAntiepileptic medications interact with anesthetic agents, and common anesthetics can precipitate or suppress seizure activity. Furthermore, neurosurgical interventions continue to evolve with iMRI, robotic, and minimally invasive techniques. The pediatric anesthesiologist will need to adapt and adjust anesthetic choices to enhance seizure foci localization and treatment.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research