Rapid termination of intraoperative stimulation-evoked seizures with application of cold Ringer's lactate to the cortex - Technical note

Rapid termination of intraoperative stimulation-evoked seizures with application of cold Ringer's lactate to the cortex - Technical note
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DOI:
10.3171/jns.1998.88.2.0349
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发表时间:
1998-02-01
影响因子:
4.1
通讯作者:
Berger, MS
Berger, MS
中科院分区:
医学1区
文献类型:
--
作者:
Sartorius, CJ;Berger, MS

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术中刺激制图的一个主要风险是产生刺激诱发癫痫发作。对22例术中脑作图过程中发生的刺激诱发癫痫的患者,将乳酸冷林格溶液直接应用于受刺激的皮层。冲洗迅速而可靠地终止了这些简单的部分性癫痫发作,并消除了静脉注射具有抗癫痫特性的短效巴比妥类药物的需要。作者描述了一种实用和简单的方法来控制刺激引起的癫痫活动在大脑绘图过程中。
One major risk of intraoperative stimulation mapping is the production of stimulation-evoked seizures. Cold Ringer's lactate solution was applied directly to the irritated cortex in 22 patients with stimulation-induced seizures that occurred during intraoperative brain mapping procedures. The irrigation rapidly and reliably terminated these simple partial seizures and eliminated the need for intravenously administered short-acting barbiturates with antiepileptic properties. The authors describe a practical and simple method for controlling stimulation-induced seizure activity during brain mapping procedures.