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Anesth Prog. 1984 June; 31(3): 136–137.
PMCID: PMC2235802
Enflurane-Induced Grand Mal Seizures During Otic Microsurgery
Andre M. DeWolf, Juei-Ling Chang, Christopher E. Larson, and Ralph J. Caparosa
Abstract
Abnormal electroencephalographic seizure-like activity and myoclonic movements have been recognized during enflurane anesthesia. This is most commonly seen in the presence of respiratory alkalosis and high concentrations of enflurane. Immediate and delayed postoperative generalized tonic-clonic convulsions have also been reported after enflurane anesthesia. Experimental studies have shown that auditory stimuli could facilitate seizure activity during deep enflurane anesthesia. Here we report a case of intraoperative generalized tonic-clonic convulsion during low concentrations of enflurane without evidence of hyperventilation and the presence of auditory stimulation.
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Selected References
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