Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration?

We assessed in 15 consecutive patients the best route and time of administration for phenytoin (PHT) prophylaxis in neurosurgical procedures. We also correlated PHT levels in serum and cerebrospinal fluid after oral and parenteral loading doses. The mean PHT level was 13.9 μg/ml in serum and 2.03 μg...

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Autor principal: Rabinowicz, A.L
Otros Autores: Salvat, J.M, Leiguarda, R.C, Demonty, F., Salvat, F., Cervio, A., Manes, F., Lazarowski, A.
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: Lippincott Williams and Wilkins 1997
Acceso en línea:Registro en Scopus
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100 1 |a Rabinowicz, A.L. 
245 1 0 |a Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration? 
260 |b Lippincott Williams and Wilkins  |c 1997 
270 1 0 |m Rabinowicz, A.L.; IINRC, Fleni, Montaneses 2325, 1428-Buenos Aires, Argentina 
506 |2 openaire  |e Política editorial 
504 |a Hauser, W.A., Hesdorferr, D.C., (1990) Epilepsy: Frequency, Causes and Consequences, pp. 1-51. , New York: Demos 
504 |a Annegers, J.F., Grabow, J.D., Groover, R.V., Laws, E., Elveback, L., Kurland, L., Seizures after head trauma: A population study (1980) Neurology, 30, pp. 683-689 
504 |a Foly, P.M., Copeland, G.P., Shaw, M.D., The incidence of postoperative seizures (1981) Acta Neurochir, 55, pp. 253-256 
504 |a Sabo, R.A., Hanigan, W.C., Aldag, J.C., Chronic subdural hematomas and seizures: The role of prophylactic anticonvulsive medication (1995) Surg Neurol, 43, pp. 579-582 
504 |a Temkin, N.K., Dikmen, S.S., Wilensky, A.J., A randomized, double blind study of phenytoin for the prevention of posttraumatic seizures (1990) N Engl J Med, 323, pp. 497-502 
504 |a DeGiorgio, C., Rabinowicz, A.L., Seizures (1992) Brain Surgery: Complication Avoidance and Management, 1, pp. 155-162. , Apuzzo M, ed., New York: Churchill Livingstone 
504 |a Treatment of convulsive status epilepticus (1993) JAMA, 270, pp. 854-859 
504 |a Rabinowicz, A.L., Ginsburg, D., DeGiorgio, C.M., Gott, P., Giannota, S., Unruptured intracranial aneurysms: Seizures and antiepileptic drug treatment following surgery (1991) J Neurosurg, 75, pp. 371-373 
504 |a Wang, E.C., Geyer, J.R., Berger, M.S., Incidence of postoperative epilepsy in children following subfrontal craniotomy for tumor (1994) Pediatr Neurosurg, 21, pp. 165-172 
504 |a Young, B., Rapp, R.P., Norton, J.A., Failure of prophylactically administered phenytoin to prevent early posttraumatic seizures (1983) J Neurosurg, 58, pp. 231-236 
504 |a Woodbury, D., (1989) Phenytoin: Absortion, Distribution and Excretion, pp. 177-195. , Levy R, Dreifuss F, Mattson R, Meldrum B, Penry K, eds. New York: Raven Press 
504 |a Lolin, Y., Ratnaraj, N., Hjelm, M., Patsalos, P., Antiepileptic drug pharmacokinetics and neuropharmacokinetics in individual rats by repetitive withdrawl of blood and cerebrospinal fluid: Phenytoin (1994) Epilepsy Res, 19, pp. 99-110 
504 |a Woodbury, D.M., Phenytoin: Proposed mechanisms of anticonvulsant action (1980) Adv Neurol, 27, pp. 447-471 
520 3 |a We assessed in 15 consecutive patients the best route and time of administration for phenytoin (PHT) prophylaxis in neurosurgical procedures. We also correlated PHT levels in serum and cerebrospinal fluid after oral and parenteral loading doses. The mean PHT level was 13.9 μg/ml in serum and 2.03 μg/ml in cerebrospinal fluid (CSF), with a significant correlation between levels in both compartments (r = 0.73, p <0.01). Mean PHT levels among the different groups were not statistically significant. We conclude that therapeutic levels of PHT in CSF can be achieved independently of the route of administration, as long as accepted loading doses are used.  |l eng 
593 |a Departments of Neurology, Inst. de Invest. Neurologicas R., Buenos Aires, Argentina 
593 |a Inst. de Invest. Neurologicas R., Montaneses 2325, 1428 - Buenos Aires, Argentina 
690 1 0 |a ANTIEPILEPTIC DRUGS 
690 1 0 |a NEUROSURGERY 
690 1 0 |a PHENYTOIN 
690 1 0 |a PROPHYLAXIS 
690 1 0 |a ANTICONVULSIVE AGENT 
690 1 0 |a PHENYTOIN 
690 1 0 |a ADULT 
690 1 0 |a AGED 
690 1 0 |a ARTICLE 
690 1 0 |a BRAIN ARTERIOVENOUS MALFORMATION 
690 1 0 |a BRAIN ARTERY ANEURYSM 
690 1 0 |a BRAIN TUMOR 
690 1 0 |a CLINICAL ARTICLE 
690 1 0 |a CLINICAL TRIAL 
690 1 0 |a CONTROLLED CLINICAL TRIAL 
690 1 0 |a CONTROLLED STUDY 
690 1 0 |a DOSE RESPONSE 
690 1 0 |a DRUG BLOOD LEVEL 
690 1 0 |a DRUG CEREBROSPINAL FLUID LEVEL 
690 1 0 |a EPILEPSY 
690 1 0 |a FEMALE 
690 1 0 |a HEAD INJURY 
690 1 0 |a HUMAN 
690 1 0 |a INTRAVENOUS DRUG ADMINISTRATION 
690 1 0 |a MALE 
690 1 0 |a MIDDLE CEREBRAL ARTERY 
690 1 0 |a NEUROSURGERY 
690 1 0 |a ORAL DRUG ADMINISTRATION 
690 1 0 |a PRIORITY JOURNAL 
690 1 0 |a RANDOMIZED CONTROLLED TRIAL 
700 1 |a Salvat, J.M. 
700 1 |a Leiguarda, R.C. 
700 1 |a Demonty, F. 
700 1 |a Salvat, F. 
700 1 |a Cervio, A. 
700 1 |a Manes, F. 
700 1 |a Lazarowski, A. 
773 0 |d Lippincott Williams and Wilkins, 1997  |g v. 20  |h pp. 438-441  |k n. 5  |p CLIN. NEUROPHARMACOL.  |x 03625664  |t Clinical Neuropharmacology 
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