[An anesthetic experience of epileptic focus resection in a nine month-old girl under monitoring by electrocorticography].
[An anesthetic experience of epileptic focus resection in a nine month-old girl under monitoring by electrocorticography].
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皮质电图监测下九月龄女婴癫痫病灶切除术的麻醉体会
DOI：
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发表时间：
2000
期刊：
影响因子：
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通讯作者：
Y. Tanaka
中科院分区：
文献类型：
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作者：
S. Inoue;K. Hayashi;K. Shigemi;Y. Tanaka
我们报告了一位9个月大的患有无法控制的癫痫发作的女孩，我们成功地进行了皮层脑电监测，切除了癫痫灶。麻醉诱导和维持采用一氧化二氮、氧气和七氟烷加维库溴铵。开颅手术后，用皮层脑电监测定位癫痫皮质病变。在软脑膜下切除和脑回切除术过程中，重复记录ECoG。在整个手术过程中，有必要保持足够的麻醉深度，以澄清癫痫波。为此，在控制性过度换气(PaCO_2 30 Mm Hg)条件下，使用2.5%七氟醚加氧气(97.5%)可有效监测皮质灶癫痫发作波。
We report a successful electrocorticography (ECoG) monitoring for a epileptic cortical focus resection in a 9-month-old girl with uncontrollable epileptic seizures. Anesthesia was induced and maintained with nitrous oxide, oxygen, and sevoflurane with vecuronium. After the craniotomy, ECoG monitoring was used to locate the epileptic cortical lesion. During the procedure of subpial resection and gyrectomy, ECoG was repeatedly recorded. It was necessary to maintain adequate depth of anesthesia throughout the procedure to clarify the epileptic waves. For this purpose, sevoflurane (2.5%) with and oxygen (97.5%) under controlled-hyperventilation (PaCO2 30 mmHg), was useful for monitoring the epileptic seizure wave from cortical focuses properly.