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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Publicado: 1997
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Acceso en línea:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03625664_v20_n5_p438_Rabinowicz
http://hdl.handle.net/20.500.12110/paper_03625664_v20_n5_p438_Rabinowicz
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spelling paper:paper_03625664_v20_n5_p438_Rabinowicz2023-06-08T15:35:25Z Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration? Antiepileptic drugs Neurosurgery Phenytoin Prophylaxis anticonvulsive agent phenytoin adult aged article brain arteriovenous malformation brain artery aneurysm brain tumor clinical article clinical trial controlled clinical trial controlled study dose response drug blood level drug cerebrospinal fluid level epilepsy female head injury human intravenous drug administration male middle cerebral artery neurosurgery oral drug administration priority journal randomized controlled trial 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. 1997 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03625664_v20_n5_p438_Rabinowicz http://hdl.handle.net/20.500.12110/paper_03625664_v20_n5_p438_Rabinowicz
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic Antiepileptic drugs
Neurosurgery
Phenytoin
Prophylaxis
anticonvulsive agent
phenytoin
adult
aged
article
brain arteriovenous malformation
brain artery aneurysm
brain tumor
clinical article
clinical trial
controlled clinical trial
controlled study
dose response
drug blood level
drug cerebrospinal fluid level
epilepsy
female
head injury
human
intravenous drug administration
male
middle cerebral artery
neurosurgery
oral drug administration
priority journal
randomized controlled trial
spellingShingle Antiepileptic drugs
Neurosurgery
Phenytoin
Prophylaxis
anticonvulsive agent
phenytoin
adult
aged
article
brain arteriovenous malformation
brain artery aneurysm
brain tumor
clinical article
clinical trial
controlled clinical trial
controlled study
dose response
drug blood level
drug cerebrospinal fluid level
epilepsy
female
head injury
human
intravenous drug administration
male
middle cerebral artery
neurosurgery
oral drug administration
priority journal
randomized controlled trial
Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration?
topic_facet Antiepileptic drugs
Neurosurgery
Phenytoin
Prophylaxis
anticonvulsive agent
phenytoin
adult
aged
article
brain arteriovenous malformation
brain artery aneurysm
brain tumor
clinical article
clinical trial
controlled clinical trial
controlled study
dose response
drug blood level
drug cerebrospinal fluid level
epilepsy
female
head injury
human
intravenous drug administration
male
middle cerebral artery
neurosurgery
oral drug administration
priority journal
randomized controlled trial
description 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.
title Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration?
title_short Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration?
title_full Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration?
title_fullStr Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration?
title_full_unstemmed Use of antiepileptic drugs in nontraumatic neurosurgical procedures: Is there any best route and time of administration?
title_sort use of antiepileptic drugs in nontraumatic neurosurgical procedures: is there any best route and time of administration?
publishDate 1997
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03625664_v20_n5_p438_Rabinowicz
http://hdl.handle.net/20.500.12110/paper_03625664_v20_n5_p438_Rabinowicz
_version_ 1768544733091594240