Skip to main content

Incidence and Clinical Significance of Postcraniotomy Seizures: Should Prophylactic Anticonvulsants Be Administered? A Review of 910 Operative Cases

  • Conference paper
Cerebellar Infarct. Midline Tumors. Minimally Invasive Endoscopic Neurosurgery (MIEN)

Part of the book series: Advances in Neurosurgery ((NEURO,volume 22))

  • 77 Accesses

Abstract

Seizures may occur in the course of many neurosurgical diseases. It is the neurosurgeon’s responsibility to decide whether or not to start with an anticonvulsant medication. To provide a rational approach to this decision some basic consideration is given to the topics: the incidence of postoperative seizures, risk of seizures in time, danger posed by a seizure, and effectiveness of an anticonvulsant medication. This report presents the data from our own patients concerning these topics and discusses the literature.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cabral RJ, King TT, Scott DF (1976) Epilepsy after two different approaches to the treatment of ruptured intracranial aneurysms. J Neurol Neurosurg Psychiatry 39:1052–1056

    Article  PubMed  CAS  Google Scholar 

  2. Calliauw L, De Praetere P, Verbeke L (1984) Postoperative epilepsy in subdural suppurations. Acta Neurochir (Wien) 71:217–223

    Article  CAS  Google Scholar 

  3. Chan RC, Thompson GB (1984) Morbidity, mortality, and quality of life following surgery for intracranial meningiomas. J Neurosurg 60:52–60

    Article  PubMed  CAS  Google Scholar 

  4. Foy PM, Copeland GP, Shaw MDM (1981) The incidence of postoperative seizures. Acta Neurochir (Wien) 55:253–264

    Article  CAS  Google Scholar 

  5. Foy PM, Copeland GP, Shaw MDM (1981) The natural history of postoperative seizures. Acta Neurochir (Wien) 57:15–21

    Article  CAS  Google Scholar 

  6. Jan M, Bazeze V, Saudeau D, Autret A, Bertrand P, Gouaze A (1986) Devenir des meningiomes intracraniens chez l’adulte. Etude retrospective d’une serie medico-chirurgicale de 161 meningiomes. Neurochirurgie 32:129–134

    PubMed  CAS  Google Scholar 

  7. Lee ST, Lui TN, Chang CN, Cheng WC, Wang DJ, Heimmburger RF, Lin CG (1989) Prophylactic anticonvulsants for prevention of immediate and early postoperative seizures. Surg Neurol 31:361–364

    Article  PubMed  CAS  Google Scholar 

  8. Legg NJ, Gupta PC, Scott DF (1973) Epilepsy following cerebral abscess. A clinical and EEG study of 70 patients. Brain 96:259–268

    Article  PubMed  CAS  Google Scholar 

  9. North JB, Hanieh A, Challen RG, Penhall RK, Hann CS, Frewin DB (1980) Postoperative epilepsy: a double-blind trial of phenytoin after craniotomy. Lancet I:384–386

    Article  Google Scholar 

  10. North JB, Penhall RK, Hanieh A, Frewin DB, Taylor WB (1983) Phenytoin and postoperative epilepsy: a double-blind study. J Neurosurg 58:672–677

    Article  PubMed  CAS  Google Scholar 

  11. Öhman J (1990) Hypertension as a risk factor for epilepsy after aneurysmal subarachnoid hemorrhage and surgery. Neurosurgery 27:578–581

    Article  PubMed  Google Scholar 

  12. Olanow CW, Finn AL (1981) Phenytoin: pharmacokinetics and clinical therapeutics. Neurosurgery 8:112–117

    Article  PubMed  CAS  Google Scholar 

  13. Penfield W, Erickson TC, Tarlov I (1940) Relation of intracranial tumors and symptomatic epilepsy. Arch Neurol Psychiatry 44:300–315

    Google Scholar 

  14. Plate KH, Dauch W, Bel S, Mennel HD (1990) Prognose in Meningeomen. Relevanz morphologischer Untersuchungen und klinischer Risikofaktoren. Zentralbl Neurochir 51:57–68

    PubMed  CAS  Google Scholar 

  15. Ramamurthi B, Ravi R, Ramachandran V (1980) Convulsions with meningiomas: incidence and significance. Surg Neurol 14:415–416

    PubMed  CAS  Google Scholar 

  16. Richardson AE, Uttley D (1980) Prevention of postoperative epilepsy. Lancet I; 650

    Article  Google Scholar 

  17. Rose FC, Sarner M (1965) Epilepsy after ruptured intracranial aneurysm. Br Med J 1:18–21

    Article  PubMed  CAS  Google Scholar 

  18. Sbeih I, Tamas LB, O’Laoire SA (1986) Epilepsy after operation for aneurysms. Neurosurgery 19:784–788

    Article  PubMed  CAS  Google Scholar 

  19. Sundaram MBM, Chow F (1986) Seizures associated with subarachnoid hemorrhage. Can J Neurol Sci 13:229–231

    PubMed  CAS  Google Scholar 

  20. Temkin NR, Dikmen SS, Wilensky AJ, Keihm J, Chabral S, Winn HR (1990) A randomized double-blind study of phenytoin for the prevention of posttraumatic seizures. N Engl J Med 323:497–502

    Article  PubMed  CAS  Google Scholar 

  21. Zouhar A, Moravek V (1967) Epileptic seizures and EEG findings in patients after brain abscess operation. Cesk Neurol Neurochir 30:248–254

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Wiedemayer, H., Becker, G., Stolke, D. (1994). Incidence and Clinical Significance of Postcraniotomy Seizures: Should Prophylactic Anticonvulsants Be Administered? A Review of 910 Operative Cases. In: Bauer, B.L., Brock, M., Klinger, M. (eds) Cerebellar Infarct. Midline Tumors. Minimally Invasive Endoscopic Neurosurgery (MIEN). Advances in Neurosurgery, vol 22. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78801-7_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78801-7_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-57668-6

  • Online ISBN: 978-3-642-78801-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics