Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T00:45:49.636Z Has data issue: false hasContentIssue false
Series:   Elements in Emergency Neurosurgery

Management of Seizures in Neurosurgical Practice

Published online by Cambridge University Press:  13 April 2024

Julie Woodfield  and
Susan Duncan
Julie Woodfield
Affiliation:
Birmingham Children’s Hospital
Susan Duncan
Affiliation:
NHS Lothian

Summary

Seizures are a presenting feature of many neurosurgical disorders, and can arise as a result of neurosurgical treatment or its complications. Recognition and effective management of seizures can be life-saving, and will minimise long term seizure induced morbidity. In this Element the authors describe seizure diagnosis, emergency and ongoing management, and considerations in neurosurgical conditions.
Get access

Keywords

seizuresepilepsyanti-epileptic drugsstatus epilepticus
Type
Element
Information
Series: Elements in Emergency Neurosurgery
Online ISBN: 9781009487238
Publisher: Cambridge University Press
Print publication: 09 May 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Fisher, RS, van Emde Boas, W, Blume, W, et al. Epileptic Seizures and Epilepsy: Definitions Proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005;46(4):470–2.Google ScholarPubMed
Fisher, RS, Cross, JH, French, JA, et al. Operational Classification of Seizure Types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia. 2017;58(4):522–30.CrossRefGoogle Scholar
Fisher, RS, Acevedo, C, Arzimanoglou, A, et al. ILAE Official Report: A Practical Clinical Definition of Epilepsy. Epilepsia. 2014;55(4):475–82.CrossRefGoogle ScholarPubMed
NICE NIfHaCE. Epilepsies in Children, Young people and Adults. 27 April 2022.CrossRefGoogle Scholar
Medicines and Healthcare Products Regulatory Agency. Valproate Use by Women and Girls. UK Government Report. 2018.Google Scholar
Wilson, CD, Burks, JD, Rodgers, RB, et al. Early and Late Posttraumatic Epilepsy in the Setting of Traumatic Brain Injury: A Meta-analysis and Review of Antiepileptic Management. World Neurosurgery. 2018;110:e901–6.CrossRefGoogle ScholarPubMed
Thompson, K, Pohlmann‐Eden, B, Campbell, LA, Abel, H. Pharmacological Treatments for Preventing Epilepsy Following Traumatic Head Injury. Cochrane Database of Systematic Reviews. 2015(8). doi: 10.1002/14651858.CD009900.pub2.CrossRefGoogle ScholarPubMed
Carney, N, Totten, AM, O’Reilly, C, et al. Guidelines for the Management of Severe Traumatic Brain Injury. 2016. Contract No.: 4th ed. Neurosurgery 2017 Jan 1;80(1):6–15. doi: 10.1227/NEU.0000000000001432.CrossRefGoogle Scholar
Zhao, L, Wu, YP, Qi, JL, et al. Efficacy of Levetiracetam Compared with Phenytoin in Prevention of Seizures in Brain Injured Patients: A Meta-analysis. Medicine (Baltimore). 2018;97(48):e13247.CrossRefGoogle ScholarPubMed
Chen, DY, Chen, CC, Crawford, JR, Wang, SG. Tumor-related Epilepsy: Epidemiology, Pathogenesis and Management. Journal of Neuro-Oncology. 2018;139(1):13–21.CrossRefGoogle Scholar
Walbert, T, Harrison, RA, Schiff, D, et al. SNO and EANO Practice Guideline Update: Anticonvulsant Prophylaxis in Patients with Newly Diagnosed Brain Tumors. Neuro-Oncology. 2021;23(11):1835–44.CrossRefGoogle ScholarPubMed
Weller, M, van den Bent, M, Preusser, M, et al. EANO Guidelines on the Diagnosis and Treatment of Diffuse Gliomas of Adulthood. Nature Reviews Clinical Oncology. 2021;18(3):170–86.CrossRefGoogle ScholarPubMed
Bodilsen, J, Dalager-Pedersen, M, van de Beek, D, Brouwer, MC, Nielsen, H. Long-term Mortality and Epilepsy in Patients After Brain Abscess: A Nationwide Population-Based Matched Cohort Study. Clinical Infectious Diseases. 2020;71(11):2825–32.CrossRefGoogle ScholarPubMed
Ersoy, TF, Ridwan, S, Grote, A, Coras, R, Simon, M. Early Postoperative Seizures (EPS) in Patients Undergoing Brain Tumour Surgery. Scientific Reports. 2020;10(1):13674.CrossRefGoogle ScholarPubMed
Lanzino, G, D’Urso, PI, Suarez, J. Seizures and Anticonvulsants After Aneurysmal Subarachnoid Hemorrhage. Neurocritical Care. 2011;15(2): 247–56.CrossRefGoogle ScholarPubMed
Marigold, R, Günther, A, Tiwari, D, Kwan, J. Antiepileptic Drugs for the Primary and Secondary Prevention of Seizures After Subarachnoid Haemorrhage. Cochrane Database of Systematic Reviews. 2013;2013(6):Cd008710.CrossRefGoogle ScholarPubMed
Steiner, T, Kaste, M, Forsting, M, et al. Recommendations for the Management of Intracranial Haemorrhage – Part I: Spontaneous Intracerebral Haemorrhage. The European Stroke Initiative Writing Committee and the Writing Committee for the EUSI Executive Committee. Cerebrovascular Diseases. 2006;22(4):294–316.Google Scholar
Haapaniemi, E, Strbian, D, Rossi, C, et al. The CAVE Score for Predicting Late Seizures After Intracerebral Hemorrhage. Stroke. 2014;45(7):1971–6.CrossRefGoogle ScholarPubMed
Greenberg, SM, Ziai, WC, Cordonnier, C, et al. Guideline for the Management of Patients with Spontaneous Intracerebral Hemorrhage: A Guideline from the American Heart Association/American Stroke Association. Stroke. 2022;53(7):e282–e361.CrossRefGoogle ScholarPubMed
Steiner, T, Al-Shahi Salman, R, Beer, R, et al. European Stroke Organisation (ESO) Guidelines for the Management of Spontaneous Intracerebral Hemorrhage. International Journal of Stroke. 2014;9(7):840–55.Google ScholarPubMed
National Institute for Health and Care Excellence. Epilepsies in Children, Young People, and Adults. 2022. https://www.nice.org.uk/guidance/ng217 27 April 2022.Google Scholar

Save element to Kindle

To save this element to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Management of Seizures in Neurosurgical Practice
Available formats
×

Save element to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Management of Seizures in Neurosurgical Practice
Available formats
×

Save element to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Management of Seizures in Neurosurgical Practice
Available formats
×