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Acta Anaesthesiol Scand 2005; 50: 395 # 2005 The Authors

Printed in UK. All rights reserved Journal compilation # 2006 Acta Anaesthesiol Scand
ACTA ANAESTHESIOLOGICA SCANDINAVICA

Letters to the Editor


Seizures with volatile anaesthetics: References
ironically ‘jamais vu’? 1. Kuczkowski KM. Sevoflurane and seizures: déjà vu. Acta
Anaesthesiol Scand 2004; 48: 1216.
doi: 10.1111/j.1399-6576.2005.00798.x 2. Hsieh SW, Lan KM, Luk HN, Jawan B. Postoperative seizures
after Sevoflurane anesthesia in a neonate. Acta Anaesthesiol
Sir, Scand 2004; 48: 663.
Anaesthetists who use volatile agents should be aware that 3. Akeson J, Didriksson I. Convulsions on anaesthetic induction with
reports of seizures caused by them (especially sevoflurane) exist Sevoflurane in young children. Acta Anaesthesiol Scand 2004; 48: 405.
(1—5). We have also reported these adverse events occurring with 4. Vakkuri A, Yli-Hankala A, Särkelä M, Lindgren L. Sevoflurane
halothane (6). How does the anaesthetist observing such a seizure mask induction of anaesthesia is associated with epileptiform
feel? He or she is often surprised; taken aback by its novelty. Isn’t EEG in children. Acta Anaesthesiol Scand 2001; 45: 805.
this ‘jamais vu’ rather than ‘déjà vu’ (1)? In ‘jamais vu’, instead of 5. Terasako K, Ishii S. Postoperative seizure-like activity following
feeling extra familiar, events seem totally unfamiliar. When a Sevoflurane anesthesia. Acta Anaesthesiol Scand 1996; 40: 953—4.
patient under such anaesthesia has seizures, we anaesthetists 6. Eipe N. Is Halothane epileptogenic? Acta Anaesthesiol Scand
2005; 49: 881.
may feel ‘unfamiliar’ with what we see. We are, at that moment,
unable to recollect that seizures have been reported with volatile
anaesthetics and are probably ill prepared to treat them. ‘Jamais Address:
Naveen Eipe, MD
vu’ is contrary to ‘déjà vu’ and this irrational feeling is due to
Padhar Hospital
disconnection of present perceptions from the memory. Ironically, Padhar
‘jamais vu’ itself is considered a symptom of temporal lobe Betul DT
epilepsy! Madhya Pradesh — 460005
India
N. Eipe e-mail: neipe@yahoo.com

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