Seizure Prophylaxis During or Following Neurosurgery FAQ
What is seizure prophylaxis?
Seizure prophylaxis involves using medications to prevent seizures during or after neurosurgery.
Why is seizure prophylaxis important?
It's vital to minimize the risk of seizures, which can complicate recovery and affect long-term outcomes.
What medications are typically used?
Common medications include Phenytoin, Levetiracetam, and Valproate.
How is the medication administered?
Medications can be given orally or intravenously, depending on the patient's condition.
When should prophylaxis start?
Prophylaxis often starts before surgery and may continue for a period post-operation.
Are there any side effects of these medications?
Yes, side effects can vary by medication, but may include dizziness, fatigue, or gastrointestinal issues.
How long do patients need to be on prophylaxis?
The duration varies; typically, it's a few days to weeks post-surgery, depending on individual risk factors.
Can seizure prophylaxis prevent all seizures?
While it's effective, it may not prevent all seizures, particularly in individuals with a history of seizures.
What if a patient has a history of seizures?
Patients with a history of seizures usually require a more tailored approach to prophylaxis.
Can lifestyle factors affect seizure risk?
Yes, stress, sleep deprivation, and certain medications can increase seizure risk.
Is there a need for follow-up appointments?
Yes, regular follow-ups are important to monitor medication effectiveness and adjust dosages if needed.
What should be done if a seizure occurs post-surgery?
Contact medical staff immediately, as prompt evaluation and management are critical.
Is seizure prophylaxis necessary for all neurosurgery patients?
No, it's usually applied based on individual risk factors and the type of surgical procedure.
Can seizure prophylaxis be combined with other treatments?
In many cases, yes. It's crucial to inform your healthcare team about all medications being taken.
What signs should be monitored after surgery?
Watch for changes in consciousness, unusual movements, or any signs that may indicate a seizure.
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Information provided by Dr. Nithya Priya Raju. Reviewed by Dr. Mohamed El Khouly