Anesthesiology
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Randomized Controlled Trial Comparative Study
Different propofol–remifentanil or sevoflurane– remifentanil bispectral index levels for electrocorticographic spike identification during epilepsy surgery.
Medical therapy, the cornerstone of managing epilepsy, still fails a substantial portion of patients. Little information is available regarding the potential impact of different bispectral index (BIS) levels on electrocorticographic spike identification for surgical epileptic foci resection. ⋯ Decreasing BIS levels in the propofol and sevoflurane groups enhanced epileptogenic spike frequency and amplitude with the same location and number of spiking leads.
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Randomized Controlled Trial
Different Propofol-Remifentanil or Sevoflurane-Remifentanil Bispectral Index Levels for Electrocorticographic Spike Identification during Epilepsy Surgery.
Medical therapy, the cornerstone of managing epilepsy, still fails a substantial portion of patients. Little information is available regarding the potential impact of different bispectral index (BIS) levels on electrocorticographic spike identification for surgical epileptic foci resection. ⋯ Decreasing BIS levels in the propofol and sevoflurane groups enhanced epileptogenic spike frequency and amplitude with the same location and number of spiking leads.