Fosphenytoin pre-medication for pediatric extra-operative electrical stimulation brain mapping.
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Nov 2026 · 1 min read
In brief
In brief
This study evaluates fosphenytoin pre-medication's impact on after-discharges and seizures during extra-operative electrical stimulation brain mapping in pediatric epilepsy surgery patients. Results inform optimal seizure prophylaxis strategies to improve safety and mapping efficacy in children undergoing functional brain mapping.
Written by the GCMD Library team from the article.
We studied the effect of fosphenytoin (FOS) pre-medication on the incidence and thresholds of after-discharges (ADs), seizures, and functional responses during electrical stimulation mapping (ESM). As individualized by the attending epileptologist, FOS was given intravenously at 2 mg-phenytoin-equivalents (PE)/kg/min or 150 mg-PE/min (whichever slower). Patients who received and did not receive FO…
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