Anesthesia in the multiple subpial transection

Objective To study the approach of anesthesia management in the multiple subpial transaction of patients wiht epilepsy.Methods Intravenous and inhalational combined anesthesia was used in each patient.Scopolamine,midazolan and pethidine were given as premedication.Anesthesia was induced with fentayl,disoprofol,pipecuronium,and maintained with inhalation of 0.5 %～1.0% isoflurane.After bone flap was removed,the inhalation of isoflurane was replaced by the constant intravenous injection of disoprofol at the dosage of 4～6mg·kg -1 ·h -1 .Results Compared with those of preoperation the electrocorticography(ECOG)tracing results during operation were not affected obviously,and the anesthetic effects of all patients were satisfactory.Conclusion These drugs and this anesthetic method can not only maintain the balance of vital signs but also unaffect the position of ECOG detection and can be applied for the multiple subpial transaction of patients with epilepsy.