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Anaesthesia for Cortical Stimulation Guided Epileptic Foci Removal: A Case Report

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Author(s): Harshal Dholke | Ann Campos | D Narsimha Rao | Manas Panigrahi | Sita Jayalakshmi

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 14;
Issue: 6;
Start page: 1;
Date: 2013;
Original page

Keywords: Epilepsy | Electrocorticography | Subdural grid | Cortical stimulation | Conscious sedation | Dexmedetomidine

ABSTRACT
A 15yr old patient with diagnosis of frontal gliosis having refractory seizures, on treatment with antiepileptics was admitted for cortical stimulation guided removal of epileptic foci. The craniotomy was done and a 32 grid subdural electrode was placed to identify the ictal onset zone with cortical stimulation to identify the functional areas. The patient received the relaxant for intubation after which the mapping and further stimulation was done with continuous infusion of dexmedetomidine. After the surgery the pre-resection evaluation was done for the epileptic foci and after two days the patient was again taken for surgery and the corresponding foci was resected.
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