Activation of electrocorticographic activity with remifentanil and alfentanil during neurosurgical excision of epileptogenic focus

British Journal of Anaesthesia

Volumn 91, Issue 5, 2003, Pages 651-655

  McGuire, G ^a   El Beheiry, H ^a   Manninen, P ^a   Lozano, A ^a   Wennberg, R ^a  

^a TORONTO WESTERN HOSPITAL   (Canada)

Author keywords

Analgesics opioid, alfentanil; Analgesics opioid, remifentanil; Complications, epilepsy; Measurement techniques, electrocorticogram; Surgery, neurological

Indexed keywords

ADRENALIN; ALFENTANIL; ANTICONVULSIVE AGENT; ATRACURIUM; BUPIVACAINE; FENTANYL; ISOFLURANE; OPIATE DERIVATIVE; PROPOFOL; REMIFENTANIL; ROCURONIUM; SUXAMETHONIUM;

ADULT; AMYGDALOID NUCLEUS; ARTICLE; BLOOD PRESSURE REGULATION; BRAIN TISSUE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CRANIOTOMY; CROSSOVER PROCEDURE; DOSE RESPONSE; DOUBLE BLIND PROCEDURE; DRUG ACTIVITY; DURA MATER; ELECTROCORTICOGRAPHY; ELECTRODE; EPILEPTIC DISCHARGE; EPILEPTIC FOCUS; FEMALE; GENERAL ANESTHESIA; HEART RATE; HIPPOCAMPUS; HUMAN; LIMBIC CORTEX; MALE; MEDICAL DOCUMENTATION; NEOCORTEX; NEUROSURGERY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPIKE WAVE; SURGICAL PATIENT; SURGICAL TECHNIQUE; TEMPORAL CORTEX; TEMPORAL LOBE EPILEPSY;

EID: 0242635928     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/aeg241     Document Type: Article

References (16)

1. Eldredge EA, Soriano SG, Rockoff MA. Surgical treatment of epilepsy in children: neuroanesthesia. Neurosurg Clin North Am 1995; 6: 505-20
2. Kofke WA, Tempelhoff R, Dasheiff RM. Anesthetic implications of epilepsy surgery. J Neurosurg Anesthesiol 1997; 9: 349-72
3. Wennberg R, Quesney F, Olivier A, Dubeau F. Induction of burst suppression and activation of epileptiform activity after methohexital and selective amygdalo-hippocampectomy. Electroencephal Clin Neurophysiol 1997; 102: 443-51
4. Scott JC, Sarnquist FH. Seizure like movements during a fentanyl infusion with absence of seizure activity in a simultaneous EEG recording. Anesthesiology 1985; 62: 812-90
5. Manninen P, Burke S, Wennberg R, et al. Intraoperative localization of an epileptogenic focus with alfentanil and fentanyl. Anesth Analg 1999; 88: 1101-6
6. Templehoff R, Modica PA, Bernardo KL, et al. Fentanyl induced electrocorticographic seizures in patients with complex partial epilepsy. J Neurosurg 1992; 77: 201-8
7. Cascino GD, So EL, Sharbrough FW, et al. Alfentanil-induced epileptiform activity in patients with partial epilepsy. J Clin Neurophysiol 1993; 10: 520-5
8. Ross J, Kearse LA, Barlow MK, et al. Alfentanil-induced epileptiform activity: a simultaneous surface and depth electroencephalographic study in complex partial epilepsy. Epilepsia 2001; 42: 220-5
9. Wass CT, Grady RE, Fessler AJ, et al. The effects of remifentanil on epileptiform discharges during intraoperative electrocorticography in patients undergoing epilepsy surgery. Epilepsia 2001, 42: 1340-4
10. Gloor P. Contributions of electroencephalography and electrocorticography to the neurosurgical treatment of epilepsies. In: Purpura D, Penry J, Walter R, eds. Neurosurgical Management of the Epilepsies. New York: Raven Press, 1975; 59-105
11. Wennberg R. Alfentanil-induced epileptiform activity. Epilepsia 2002; 43: 206
12. Spencer DD, Ojemann GA. Overview of therapeutic procedures. In: Engel J Jr, ed. Surgical Treatment of the Epilepsies. New York: Raven Press, 1993; 455-471
13. Zhu H, Zhou W. Morphine induces synchronous oscillatory discharges in the rat locus coeruleus.J Neurosci 2001; 21: 1-5
14. Siggins GR, Henriksen SJ, Chavkin C, et al. Opioid peptides and epileptogenesis in the limbic system: cellular mechanisms. Adv Neurol 1986; 44: 501-12
15. Zieglgansberger W, French ED, Siggins GR, Bloom FE. Opioid peptides may excite hippocampal pyramidal neurons by inhibiting adjacent inhibitory interneurons. Science 1979; 205: 415-17
16. Nicoll RA, Alger BE, Jahr CE. Enkephalin blocks inhibitory pathways in the vertebrate CNS. Nature 1980; 287: 22-5