title: Anesthesia considerations in epilepsy surgery.
abstract: Epilepsy surgeries can be done under general anesthesia or with local anesthesia and sedation. Epilepsy surgery done under general anesthesia have similar goals as any other neurosurgical procedure, except in patients with temporal lobe epilepsy requiring cortical mapping or electrocorticography (ECoG) where depth of anesthesia has to be reduced. Since seizure focus localization can be done preoperatively with modern diagnostic tools, general anesthesia is popular even for these patients. It is comfortable for both the surgeon and the patient. For intraoperative ECoG or cortical mapping awake craniotomy is the preferred technique.
authors.affiliation: Neuroanesthesia Fellowship Programme, Department of Anesthesia, Seth GS Medical College & KEM Hospital, Mumbai, India. Electronic address: anitanshetty@yahoo.co.uk.
authors.forename: Anita
authors.initials: A
authors.lastname: Shetty
authors.affiliation: Department of Anesthesia, Seth GS Medical College & KEM Hospital, Mumbai, India.
authors.forename: Swarada
authors.initials: S
authors.lastname: Pardeshi
authors.affiliation: Department of Anesthesia, Seth GS Medical College & KEM Hospital, Mumbai, India.
authors.forename: Viraj M
authors.initials: VM
authors.lastname: Shah
authors.affiliation: Department of Anesthesia, Seth GS Medical College & KEM Hospital, Mumbai, India.
authors.forename: Aarti
authors.initials: A
authors.lastname: Kulkarni
mesh_terms: D000758:Anesthesia / Q000379:methods*; D003399:Craniotomy / Q000379:methods; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods; D055536:Vagus Nerve Stimulation
keywords: Anesthesia management; Awake craniotomy; Electrocorticography; Epilepsy surgery