From: Two cases of anesthetics-induced epileptic seizures: a case report and literature review
 | Sex/ age | History of epilepsy | AEDs before surgery | Seizure-free duration | Surgery | Anesthesia | Epileptic seizure | Treatment | EEG | CT/MRI | AEDs after surgery | One year follow-up |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Case 1 | Female/16 | GTCS 13 years ago, lasting 1–2 min and repeated more than 10 times intermittently | Sodium valproate and oxcarbazepine | 3 years | Rhinoplasty and double-eyelid surgery | Propofol (100 mg) General anesthesia | During surgery, the patient began to present with spasmodical convulsions, more prominent on the upper and lower extremities . | Midazolam (10 mg) and Diazepam (20 mg) | Normal | Normal | Oxcarbazepine (300 mg bid), Sodium valproate (500 mg bid) | No seizure |
Case 2 | Female/34 | Limb clonic seizures 5 years ago, lasting 2–4 min. This attack occurred 1–2 times a day, more frequently in the afternoon. | Sodium valproate, oxcarbazepine, and lamotrigine | 5 years | Bilateral tonsillectomy | Lidocaine (160 mg) Local anesthesia | Immediately after local anesthesia, the patient suffered from a GTCS, which lasted for about 20 min. | Diazepam (10 mg) | Increase of slow waves in both hemispheres | Slight enlargement of the left ventricle temporal horn | Lamotrigine (75 mg bid), Sodium valproate (500 mg bid) | No seizure |