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http://dx.doi.org/10.12655/jkdoh.2013.9.1.51

DENTAL TREATMENT IN A PATIENT WITH LENNOX-GASTAUT SYNDROME UNDER GENERAL ANESTHESIA  

Baik, Minkyung (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Shin, Teo-Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Hyun, Hong-Keun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Young-Jae (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Jung-Wook (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Jang, Ki-Taeg (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Lee, Sang-Hoon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Chong-Chul (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Publication Information
The Journal of Korea Assosiation for Disability and Oral Health / v.9, no.1, 2013 , pp. 51-55 More about this Journal
Abstract
Lennox-Gastaut syndrome (LGS) is a severe form of childhood epilepsy that is defined by generalized multiple type seizures, slowness of intellectual growth, and a specific EEG disturbance. Children affected might previously have infantile spasms or underlying brain disorder but etiology can be idiopathic. LGS seizures are often treatment resistant and the long term prognosis is poor. A 14-year-3-month old, 20.5 kg girl with LGS was scheduled for dental treatment under general anesthesia. The patient presented with multiple caries and heavy calculus. General anesthesia was induced and maintained with inhalation agent, Sevoflurane. And caries treatment, scaling, subgingival curretage were performed. LGS patients usually have poor oral hygiene due to mental retardation and have high risk of seizure during dental treatment. In dental treatment under general anesthesia for LGS, it must be considered of seizure control during peri-operative period. Also periodic recall check, instruction of oral hygiene must be performed.
Keywords
Lennox-Gastaut syndrome; Dental treatment; General anesthesia;
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  • Reference
1 Beaumanoir A, Dravet C : The Lennox-Gastaut syndrome. In: Roger J, Bureau M, Dravet ch, Dreifuss FE, Perret A, Wolf P, 2nd ed. Epileptic syndrome in infancy and adolescence. Jone Liddey & Company Ltd, 115-32, 1992.
2 Farrell K : Symptomatic Generalized Epilepsy and Lennox-Gastaut Syndrome. In: Wyllie E,ed. The Treatment of Epilepsy. Baltimore: Williams & Wilkins, 530-9, 1996.
3 O'Donohoe NV : Epilepsies of childhood, 2nd ed. London, England: Butterworths, 1985.
4 Van Engelen BG, de Waal LP, Weemaes CM, Renier WO : Serologic HLA typing in cryptogenic Lennox-Gastaut syndrome. Epilepsy Res, 17:43-7, 1994.   DOI   ScienceOn
5 Shields WD : Diagnosis of infantile spasms, Lennox-Gastaut syndrome, and progressive myoclonic epilepsy. Epilepsia, 45(Suppl 5):2-4, 2004.
6 Crumrine PK : Lennox-Gastaut syndrome. J Child Neurol, 70-75, 2002.
7 Markand ON : Lennox-Gastaut syndrome (childhood epileptic encephlopathy). J Cli Neurophysiol, 20:426-441, 2003.   DOI   ScienceOn
8 Heiskala H : Community-based study of Lennox- Gastaut syndrome. Epilepsia, 38:526-531, 1997.   DOI   ScienceOn
9 Lennox WG : Childhood epilepsy. N Y State J Med, 1;50(19):2263-6, 1950.
10 Trevathan E : Infantile spasms and Lennox- Gastaut Syndrome. J Child Neurol, 17(Suppl 2):9-22, 2002.   DOI
11 Gastaut H, Roger J, Soulayrol R, Tassinari CA, Regis H, Dravet C : Childhood epileptic encephalopathy of children with diffuse slow spike-waves (otherwise known as “petit mal variant”) or Lennox syndrome. Epilepsia, 7:139-179, 1966.
12 Schmidt D, Bourgeois B : A risk-benefit assessment of therapies for Lennox-Gastaut sundrome. Drug Saf, 22:467-477, 2000.   DOI   ScienceOn
13 Chevrie JJ, Aicardi J : Childhood epileptic encephalopathy with slow spike-wave. A statistical study of 80 cases. Epilpsia, 13:259-71, 1972.   DOI   ScienceOn
14 Beaumanoir A, Martin F, Panagopoulos M, Mundler F : Le syndrome de Lennox-Gastaut. Schweiz Arch Neurol Neurochir Psychiatr, 102:31-62, 1968.
15 Roger J, Dravet C, Bureau M : The Lennox-Gastaut syndrome. Cleve Clin J Med, 56:S172-S80, 1989.