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Udgivet

Intraoperative hyperventilation vs remifentanil during electrocorticography for epilepsy surgery - a case report

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  1. Prevention after stroke: A quality assurance study

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  2. Does continuous electroencephalography influence therapeutic decisions in neurocritical care?

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  3. Transcranial low-frequency pulsating electromagnetic fields (T-PEMF) as post-concussion syndrome treatment

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  4. Effect and efficacy of lifestyle interventions as secondary prevention

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  5. Prevalence and risk of occult cancer in stroke

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  1. Epilepsy-Related Mortality in Children and Young Adults in Denmark: A Nationwide Cohort Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Comparing Seizure-Related Death and Suicide in Younger Adults with Epilepsy

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  3. Sudden unexpected death in epilepsy in persons younger than 50 years: A retrospective nationwide cohort study in Denmark

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  4. Changes in autonomic tone during delirium in acute stroke patients assessed by pupillometry and skin conductance

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  5. Electroencephalographic functional connectivity is altered in persons with Down syndrome and Alzheimer's disease

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Vis graf over relationer
BACKGROUND: Traditionally, intraoperative intracranial electroen-cephalography-recordings are limited to the detection of the irritative zone defined by interictal spikes. However, seizure patterns revealing the seizure onset zone are thought to give better localizing information, but are impractical due to the waiting time for spontaneous seizures. Therefore, provocation by seizure precipitants may be used with the precaution that spontaneous and provoked seizures may not be identical. OBJECTIVE: We present evidence that hyperventilation induced and drug induced focal seizures may arise from different brain regions in the same patient. METHODS: Hyperventilation and ultra short acting opioid remifentanil were used separately as intraoperative precipitatants of seizure patterns, while recording from subdural and intraventricular electrodes in a patient with temporal lobe epilepsy. Two different ictal onset zones appeared in response to hyperventilation and remifentanil. Both zones were resected and the patient has remained essentially seizure free for 1 year. Furthermore, this is the first description of hyperventilation used as an intraoperative seizure precipitant in human focal epilepsy.
OriginalsprogEngelsk
TidsskriftActa Neurologica Scandinavica
Vol/bind121
Udgave nummer6
Sider (fra-til)413-7
Antal sider5
ISSN0001-6314
DOI
StatusUdgivet - 1 jun. 2010

ID: 31025657