Table 2. Anesthetic considerations for the LITT (laser interstitial thermal therapy) procedure .

[1]

LITT Procedure – Anesthetic Considerations

General anesthesia (GA) or sedation with local anesthesia: but most institutions prefer GA with endotracheal intubation

Local anesthesia infiltration or scalp blocks to reduce perioperative pain and hemodynamic changes

Antiepileptic medications (Levetiracetam 500-100 mg or Fosphenytoin 500-100 mg) to reduce seizure incidence; steroids (Dexamethasone 10 mg) for LITT-related peritumoral cerebral edema

Antiemetic medication to control postoperative nausea and vomiting and reduce the chances of raised ICP (intracranial pressure)