Francesco T. Mangano · Fosphenytoin pre-medication for pediatric extra-operative electrical stimulation brain mapping.
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Article1 min read·Published Nov 2026

Fosphenytoin pre-medication for pediatric extra-operative electrical stimulation brain mapping.

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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.

Francesco T. Mangano

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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