Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Epilepsy and ANesthesia

Trying to find out about the effects of anesthesia in people taking anticonvulsants when they have general surgery...not surgery for epilepsy.

Do these patients have an incresed risk of seizures, do they get confusion and take longer to wake up than those not on antiepileptic therapy?

Thanks,

Featured Replies

  • Guides

That is a great question - looking forward to the answers.

I have had 2 seizures.

steph

  • Author

Actually, the reason I ask is because I have epilepsy and take lamictal diamox and clobazam. I have Juvenile Myoclonic Epilepsy and am due to have my gall bladder out.

Some artcles I have read that some anesthetics can cause seizures and some don't. I'm confused and scared.

I'll be in the hospital I work at so don't want to make a tit of myself!!

Anyway, if I find out the answer before someone responds, I'll post back to let you know.

  • Guides

Barb - have you asked your doc? Or maybe gone to talk to the pharmacist where you work?

Let me know - I may be having a surgical procedure sometime this year.

steph

  • Author

Nope haven't spoken to anyone yet, awaiting reply from epilepsy doctor and nurse...I sent an email yesterday.

Trying to find out about the effects of anesthesia in people taking anticonvulsants when they have general surgery...not surgery for epilepsy.

Do these patients have an incresed risk of seizures, do they get confusion and take longer to wake up than those not on antiepileptic therapy?

Thanks,

I don't think it will increase the risk of seizure, I currently work at a facility where we do long term EMU monitoring and we do siscom (a procedure that involves injecting an isotope during seizure) following injection the patient goes to MRI/Nuclear medicine for a brain scan, on occasion we have to put the patient under general anesthesia to keep these patients still so we can get a good image of the brain and pinpoint the focal point of the seizure.

  • Guides
I don't think it will increase the risk of seizure, I currently work at a facility where we do long term EMU monitoring and we do siscom (a procedure that involves injecting an isotope during seizure) following injection the patient goes to MRI/Nuclear medicine for a brain scan, on occasion we have to put the patient under general anesthesia to keep these patients still so we can get a good image of the brain and pinpoint the focal point of the seizure.

Wow, that is interesting. This must be for folks who have alot of seizures so you can plan for a brain scan during the seizure.

I've had two, 6 months apart and none now for two years.

Had two eeg's and two mri's. Found nothing wrong.

steph

Wow, that is interesting. This must be for folks who have alot of seizures so you can plan for a brain scan during the seizure.

I've had two, 6 months apart and none now for two years.

Had two eeg's and two mri's. Found nothing wrong.

steph

We are usually the last place people go (Mayo clinic), we start by weaning people of the anti-epileptic drugs, we sleep deprive, photo stimulate, hyperventilate and exercise the patient in hopes of a seizure, patients sometimes stay well over a week. Some patients have grids/electrodes placed directly on the brain (surgery).

Nope haven't spoken to anyone yet, awaiting reply from epilepsy doctor and nurse...I sent an email yesterday.
We put people to sleep with seizure disorders all the time. Tell your anesthesia provider. It's not really a big deal at all if we know about it.
  • Author

Thanks,

I was told that Pethidine and Tramadol lower seizure threshold. I'm still scared, but trying not to stress.

Thanks,

I was told that Pethidine and Tramadol lower seizure threshold. I'm still scared, but trying not to stress.

Those drugs are rarely used by anesthesia providers in the US. Both of the common induction agents (pentothal and propofol) are fine with seizure patients.
  • Author

Thanks. I am going in on Sunday afternoon, having the op Monday. I will see the Anesthetist Sunday as I have acidosis from Diamox used to treat my seizures (the myoclonic ones).

Barb,

My son (who has epilepsy) has been under anesthesia 4 times (2 subdural grid surgeries and 2 lobectomies). The anesthesiologist told me that anesthesia actually has "anti-seizure qualities" and for us not to worry about seizures during the surgery. My son had many seizures post-op but that was due to the brain trauma. I think your anesthesiologist will be better to answer you on Sunday. Best of luck with your surgery.

Guest
This topic is now closed to further replies.

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.