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Intraoperative Seizure Craniotomy — FRCA Final MCQ

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ModerateNeuroanaesthesiaIntraoperative Seizure CraniotomyFRCA Final

Intraoperative seizure during craniotomy. After stopping stimulation, first-line IV anticonvulsant?

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Correct answer: A — Midazolam 0.1 mg/kg or propofol 1 mg/kg

Intraoperative seizure: cold saline irrigation to cortex first, then IV midazolam 0.1 mg/kg or propofol 1 mg/kg — rapid-acting and already available. Phenytoin/levetiracetam for ongoing prophylaxis but slower onset.

Reference: SBNS/RCOA – 2023 – Intraoperative seizure management