| CASE REPORT |
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| Year : 2012 | Volume
: 56
| Issue : 1 | Page : 55-57 |
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Seizures after intravenous tramadol given as premedication
Lalit Kumar Raiger, Udita Naithani, Sonali Bhatia, Sandeep Singh Chauhan
Department of Anaesthesiology and Critical Care, RNT Medical College and Associated Group of Hospitals, Udaipur, Rajasthan, India
Correspondence Address:
Lalit Kumar Raiger
Dilshad Bhawan, 69 Chetak Circle, Udaipur, Rajasthan 313 001
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5049.93345
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A 35-year-old, 50-kg female with a history of epilepsy was scheduled for elective breast surgery (fibroadenoma) under general anaesthesia. She was given glycopyrrolate 0.2 mg, ondansetron 4 mg and tramadol 100 mg i.v. as premedication. Within 5 min, she had an acute episode of generalised tonic-clonic seizure that was successfully treated with 75 mg thiopentone i.v. and after 30 min, she was given general anaesthesia with endotracheal intubation. Surgery, intra-operative period, extubation and post-operative period were uneventful. We conclude that tramadol may provoke seizures in patients with epilepsy even within the recommended dose range. |
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