title: Seizure attack during partial hepatectomy in a living donor for liver transplantation under sevoflurane anesthesia.
abstract: We report a case of generalized convulsion during partial hepatectomy for the purpose of organ donation for syngenesioplastic liver transplantation under sevoflurane anesthesia. This 23-year-old male Taiwanese living donor had no history of epilepsy. Anesthesia was inducted with fentanyl, propofol and rocuronium was used to facilitate endotracheal intubation. Sevoflurane in the mixture of oxygen and air and rocuronium were used for maintenance of anesthesia. Generalized convulsion with mild fever was observed 11 hours after the start of surgery when the surgeons happened to take a recess pending the removal of the recipient's liver. Convulsive episode subsided after aggressive management. Another 3 hours were required to complete the operation and the patient woke up in the postanesthesia room uneventfully.
authors.affiliation: Department of Anesthesia, China Medical University Hospital, Taichung, Taiwan, ROC.
authors.forename: Kin-Shing
authors.initials: KS
authors.lastname: Poon
authors.forename: Si-Tun
authors.initials: ST
authors.lastname: Fung
authors.forename: Long-Bin
authors.initials: LB
authors.lastname: Jeng
authors.forename: Rick Sai-Chuen
authors.initials: RS
authors.lastname: Wu
mesh_terms: D000328:Adult; D000769:Anesthesia, Inhalation; D004569:Electroencephalography; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008738:Methyl Ethers / Q000494:pharmacology*; D012640:Seizures / Q000209:etiology*; D000077149:Sevoflurane
chemical_list: D008738:Methyl Ethers; D000077149:Sevoflurane