Status Epilepticus following a Laparoscopic Surgery in a Patient of Chronic Kidney Disease – A Case Report
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Date
2020-04
Journal Title
Journal ISSN
Volume Title
Publisher
International Research Organization for Life & Health Sciences (IROLHS)
Abstract
Seizures may occur in close relation to surgical procedures or with the use of anesthetic agents in several situations. Thecausative factors include an interruption of treatment with antiepileptic drugs (AEDs) or inadequate blood concentrations resultingfrom impaired gastrointestinal absorption. In operative procedures not involving the brain, transient seizures can arise frommetabolic derangements or drug neurotoxicity. Other causes include hypoxia, hypotension, and embolic infarction. Seizuresoccurring shortly after injection of moderate to large amounts of local anesthetic should raise the suspicion of inadvertentintravenous injection. Seizures may also indicate withdrawal from unsuspected chronic use of excessive amounts of alcohol,sedative medications, mood-stabilizing agents, or AEDs. Rarely, sleep deprivation and drugs like flumazenil may precipitateseizures. We discuss the management of status epilepticus following laparoscopic urology procedure in a patient of chronickidney disease with a history of the previous craniotomy.
Description
Keywords
Chronic kidney disease, Laparoscopic urological procedure, Metabolic derangements, Previous craniotomy, Seizures
Citation
Kohli Harjinder, Kaur Navjot, Anand Naresh, Chopra Puneet. Status Epilepticus following a Laparoscopic Surgery in a Patient of Chronic Kidney Disease – A Case Report. International Journal of Scientific Study. 2020 Apr; 8(1): 1-4