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Table 4 Neurocritical Care Society guidelines and 2012 American Heart Association/American stroke Association guidelines for management of patients with aSAH

From: Seizure prophylaxis in the neuroscience intensive care unit

As per the 2011 Neurocritical Care Society guidelines [71] and 2012 American Heart Association/American stroke Association guidelines [76]
• Phenytoin is not recommended routinely for seizure prophylaxis after SAH [71].
• Other AED may be considered for seizure prophylaxis [71].
• A short course is preferable (3–7 days) in case prophylaxis is needed [71].
• CEEG monitoring should be used in patients who failed to improve or have poor grade SAH [71].
• Prophylactic use of AED can be considered in immediate post hemorrhagic period [76].
• Long-term use of AED can be considered for patients with known risk factors for delayed seizure disorder, such as prior seizure, intracerebral hematoma, intractable hypertension, infarction, or aneurysm at the middle cerebral artery [76].