1. Control de las crisis epilépticas durante el postoperatorio inmediato de los tumores cerebrales supratentoriales: recomendaciones del Grupo de Neurocirugía Funcional y Estereotáctica de la Sociedad Española de Neurocirugía
- Author
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Albisua-Sánchez J, Sola Rg, A. Prieto-González, Sánchez-Álvarez Jc, Miguel Ángel Arráez-Sánchez, Villanueva-Haba, A. García-Allut, Javier Márquez-Rivas, Iñigo Pomposo-Gaztelu, Bollar-Zabala A, Santiago Amaro-Cendón, Antonio Gutiérrez-Martín, Fernando Eliseo Carceller-Benito, Eduardo García-Navarrete, Miguel Domínguez-Páez, Rumiá-Arboix J, Oliver-Abadal B, Herranz-Fernández Jl, Gonzalo Olivares-Granados, Mosqueira-Centurión B, Salazar-Hernández J, Lara-Cantalejo Jl, Enrique Urculo-Bareño, and Carlos Fernández-Carballal
- Subjects
medicine.medical_specialty ,Valproic Acid ,Supratentorial Tumors ,business.industry ,Disease ,Surgery ,Medicine ,In patient ,Neurology (clinical) ,Neurosurgery ,Levetiracetam ,business ,Surgical treatment ,medicine.drug - Abstract
Our review of the literature is basically focused on the primary prophylaxis of early seizures after surgery of cerebral supratentorial tumors, with the aim of suggesting several recommendations in medical antiepileptic treatment to avoid this kind of seizures which occur immediately after surgery. In conclusion, it is recommended to provide criteria for prophylaxis of early seizures after surgery of cerebral supratentorial tumors. Its recommended a one week treatment with antiepileptic drugs in patients who didnt have seizures jet, starting immediately after the surgical treatment. If seizures appear during progress of the disease, a large period treatment will be needed. Preferred antiepileptic treatment is intravenous and with a low interactions profile. Levetiracetam, followed by valproic acid seem to be most appropriated drugs due to their properties and protective effects, particularly for our patients requirements. These recommendations are considered a general proposal to effective clinical management of early seizures after surgery, not taking into account the single circumstances of our patients. Always, clinical features of the patients could modify even significantly these guides in the benefit of each patient.
- Published
- 2012