Current Approach to Perioperative Evaluation of Neurological Diseases
The neurologist, cilt.30, sa.5, ss.310-328, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 30 Sayı: 5
- Basım Tarihi: 2025
- Doi Numarası: 10.1097/nrl.0000000000000632
- Dergi Adı: The neurologist
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Sayfa Sayıları: ss.310-328
- Anahtar Kelimeler: perioperative, preoperative, postoperative, neurological diseases, anesthesia, dementia, epilepsy, multiple sclerosis, parkinson disease, stroke, sleep disorders, headache
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: The perioperative period refers to the 3 phases of the surgical procedure: preoperative, intraoperative, and postoperative. Proper management of chronic diseases in the perioperative period plays a critical role in improving patient outcomes and requires a multidisciplinary approach. Perioperative management of neurological diseases can be challenging due to their chronic nature and the necessity for multiple drug use in neurological disorders, which may potentially interact with anesthetics. REVIEW SUMMARY: This review summarizes the perioperative management of various neurological disorders, including epilepsy, dementia, acute confusional state, movement disorders, stroke, demyelinating diseases, neuromuscular disorders, sleep disorders, and headache. CONCLUSION: Perioperative management of patients with neurological diseases requires a comprehensive, multidisciplinary approach tailored to the specific needs of each condition. Adherence to evidence-based guidelines not only ensures patient safety but also enhances recovery, reducing morbidity and mortality in this vulnerable patient population.