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Lee KJ, Eom KS, Park JT, et al. Fatal Post-Operative Epilepticus after Burr-Hole Drainage for Chronic Subdural Hematoma. Korean J Neurotrauma. 2015;11(2):144-6doi: 10.13004/kjnt.2015.11.2.144.
Lee, K. J., Eom, K. S., Park, J. T., & Kim, T. Y. (2015). Fatal Post-Operative Epilepticus after Burr-Hole Drainage for Chronic Subdural Hematoma. Korean journal of neurotrauma, 11(2), 144-6. https://doi.org/10.13004/kjnt.2015.11.2.144
Lee, Kwang Jin, et al. "Fatal Post-Operative Epilepticus after Burr-Hole Drainage for Chronic Subdural Hematoma." Korean journal of neurotrauma vol. 11,2 (2015): 144-6. doi: https://doi.org/10.13004/kjnt.2015.11.2.144
Lee KJ, Eom KS, Park JT, Kim TY. Fatal Post-Operative Epilepticus after Burr-Hole Drainage for Chronic Subdural Hematoma. Korean J Neurotrauma. 2015 Oct;11(2):144-6. doi: 10.13004/kjnt.2015.11.2.144. Epub 2015 Oct 31. PMID: 27169081; PMCID: PMC4847506.
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Korean J Neurotrauma. 2015 Oct;11(2):144-6. doi: 10.13004/kjnt.2015.11.2.144. Epub 2015 Oct 31.

Fatal Post-Operative Epilepticus after Burr-Hole Drainage for Chronic Subdural Hematoma.

Korean journal of neurotrauma

Kwang Jin Lee, Ki Seong Eom, Jong Tae Park, Tae Young Kim

Affiliations

  1. Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea.

PMID: 27169081 PMCID: PMC4847506 DOI: 10.13004/kjnt.2015.11.2.144

Abstract

Incidence of post-operative seizure after burr-hole trephination (BHT) for chronic subdural hematoma (CSDH) is known to be very low. The effect of the prophylactic antiepileptic drug in reducing the development of new seizure after surgery is still unclear. Here, we present a case of fatal status epilepticus with progressive respiratory complication following early discontinuation of prophylactic antiepileptic drug in an 84-year-old man who had undergone bilateral BHT and closed-system drainage for bilateral CSDH. Although the efficacy of the prophylactic anticonvulsants in BHT for CSDH has been controversial, the development of status epilepticus postoperatively seems to be strongly associated with an increased mortality rate in aged patients. Therefore, prophylactic anticonvulsants should be administrated in aged patients who undergo surgery for CSDH, until a definitive clinical treatment guideline is suggested.

Keywords: Aged; Anticonvulsants; Hematoma, subdural, chronic; Status epilepticus

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