Prophylactic Anticonvulsants After Subarachnoid Hemorrhage

Abstract

T l o f S eizures associated with subarachnoid hemorrhage (SAH) bring poor recovery from functional disability, and reduction of quality of life (3). Although the incidence of seizure fter SAH is not so high (4), seizures might make acute manageent of SAH complicated. Some of anticonvulsants might inolve adverse events such as cognitive decline (1); therefore, it is till controversial whether or not anticonvulsants should be dministered prophylactically. “Guidelines for the Management f Aneurysmal Subarachnoid Hemorrhage” suggested that prohylactic anticonvulsants might be considered in the immediate osthemorrhagic period and that the routine long-term use of nticonvulsants was not recommended except for patients with isk factors such as prior seizure, parenchymal hematoma, inarct, or middle cerebral artery aneurysms (2). However, these ndications were not based on satisfactory evidence. Actually the sage of prophylactic anticonvulsants in SAH might depend on very facility.