{"id":10322,"date":"2026-06-16T12:22:21","date_gmt":"2026-06-16T12:22:21","guid":{"rendered":"https:\/\/kliniekhetbolwerk.nl\/eyelid-correction-under-local-anaesthetic-with-epilepsy-is-that-safe\/"},"modified":"2026-07-13T05:44:58","modified_gmt":"2026-07-13T05:44:58","slug":"eyelid-correction-under-local-anaesthetic-with-epilepsy-is-that-safe","status":"publish","type":"post","link":"https:\/\/kliniekhetbolwerk.nl\/en\/eyelid-correction-under-local-anaesthetic-with-epilepsy-is-that-safe\/","title":{"rendered":"Eyelid correction under local anaesthetic with epilepsy: is that safe?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"10322\" class=\"elementor elementor-10322 elementor-9722\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e1d1e28 e-flex e-con-boxed e-con e-parent\" data-id=\"6e1d1e28\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3edca1ea elementor-widget elementor-widget-text-editor\" data-id=\"3edca1ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At Kliniek het Bolwerk we carry out eyelid corrections under local anaesthetic. For most people this is a safe and comfortable way of anaesthetising. Do you have epilepsy? Then it is important to always report this, because local anaesthetic can in rare cases affect the excitability of the brain.   <\/p><p>In this blog we explain what is known about local anaesthesia and epilepsy, and how we deal with this at Kliniek het Bolwerk.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa53687 elementor-widget elementor-widget-heading\" data-id=\"aa53687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is the connection between local anaesthetic and epilepsy?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bcece18 elementor-widget elementor-widget-text-editor\" data-id=\"bcece18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Local anaesthetics, such as lidocaine, are widely used and are generally very safe. Still, it is known that people with epilepsy can have an increased sensitivity to getting an epileptic seizure as a side effect of local anaesthetics [1]. <\/p><p>This risk has been described particularly with high doses or rapid uptake of the product into the bloodstream (local anaesthetic systemic toxicity, LAST). There are also cases described of people who had been seizure-free for years, and who nevertheless got an epileptic seizure after administration of local anaesthetic [2]. <\/p><p>With an eyelid correction, however, a very small amount of local anaesthetic is used, administered locally in the skin of the eyelid \u2014 this is a different situation from large amounts of local anaesthesia with, for example, a dental procedure or nerve block.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da40fd3 elementor-widget elementor-widget-heading\" data-id=\"da40fd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Points of attention<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75e2201 elementor-widget elementor-widget-text-editor\" data-id=\"75e2201\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Epilepsy is a point of attention, not an automatic contraindication for local anaesthetic [1]<\/li><li>The risk is greater with high doses of local anaesthetics, less with the small amounts that are used with an eyelid correction<\/li><li>Continuing anti-epileptic medication around the procedure is important for maintaining seizure control [3]<\/li><li>Stress, fatigue and sleep deprivation around a procedure can in themselves also be a trigger for a seizure, apart from the anaesthetic [4]. So make sure that you are well rested before the treatment and ensure sufficient moments of rest after the treatment. <\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5f25c1 elementor-widget elementor-widget-heading\" data-id=\"f5f25c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our protocol at Kliniek het Bolwerk<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f6c04f elementor-widget elementor-widget-heading\" data-id=\"1f6c04f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Extensive medical history<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db7e16e elementor-widget elementor-widget-text-editor\" data-id=\"db7e16e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We ask about the type of epilepsy, how long you have been seizure-free, which medication you use and whether there are known triggers.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75bbea3 elementor-widget elementor-widget-heading\" data-id=\"75bbea3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Continuing medication<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c32fbae elementor-widget elementor-widget-text-editor\" data-id=\"c32fbae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Anti-epileptics are simply continued according to the normal schedule, on the day of the procedure too [3].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-629de7f elementor-widget elementor-widget-heading\" data-id=\"629de7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Minimal, measured anaesthetic<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c70c7f elementor-widget elementor-widget-text-editor\" data-id=\"6c70c7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We use the smallest possible amount of local anaesthetic needed for a comfortable procedure, with attention to gradual administration.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-226fbef elementor-widget elementor-widget-heading\" data-id=\"226fbef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Calm environment and planning<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6be734d elementor-widget elementor-widget-text-editor\" data-id=\"6be734d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We take account of sufficient rest prior to the procedure and plan the appointment at a moment that suits your daily rhythm, to limit unnecessary stress or fatigue [4].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfdcb71 e-con-full e-flex e-con e-child\" data-id=\"bfdcb71\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fce09b elementor-widget elementor-widget-text-editor\" data-id=\"1fce09b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i><span style=\"font-weight: 400;\">Important: epilepsy is in most cases not a contraindication for an eyelid correction under local anaesthetic, provided this is reported beforehand and the seizure control is stable. If in doubt, we consult with your neurologist. <\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1587f2c elementor-widget elementor-widget-heading\" data-id=\"1587f2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When do we advise against the procedure (for the time being)?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73ca29a elementor-widget elementor-widget-text-editor\" data-id=\"73ca29a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of recent or frequent seizures, or an epilepsy that is not yet well regulated [3]<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of a history of a previous reaction to local anaesthetic [2]<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">If your neurologist advises against the procedure at this time<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-435c0d7 elementor-widget elementor-widget-heading\" data-id=\"435c0d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our advice<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c758f5a elementor-widget elementor-widget-text-editor\" data-id=\"c758f5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Do you have epilepsy and are you considering an eyelid correction? Always report this during the intake consultation, even if you have been seizure-free for years. During the consultation at Kliniek het Bolwerk we discuss your situation and, if necessary, contact your neurologist before we plan the procedure.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61bfeb9 elementor-widget elementor-widget-heading\" data-id=\"61bfeb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Literature references<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3978ea elementor-widget elementor-widget-text-editor\" data-id=\"d3978ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The publications below form the medical-scientific basis of this article:<\/p><ol><li>Local anesthesia: neurologic complications. MedLink Neurology.  2026.  <a href=\"https:\/\/www.medlink.com\/articles\/local-anesthesia-neurologic-complications\" target=\"_blank\" rel=\"noopener\">https:\/\/www.medlink.com\/articles\/local-anesthesia-neurologic-complications<\/a><\/li><li>Local anaesthetic-induced seizures: a review. Frontiers of Oral and Maxillofacial Medicine.  2024.  <a href=\"https:\/\/fomm.amegroups.org\/article\/view\/92958\/html\" target=\"_blank\" rel=\"noopener\">https:\/\/fomm.amegroups.org\/article\/view\/92958\/html<\/a><\/li><li>Anaesthesia and epilepsy. Continuing Education in Anaesthesia, Critical Care &#038; Pain (ScienceDirect).  2012.  <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0007091217322602\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0007091217322602<\/a><\/li><li>Two cases of anesthetics-induced epileptic seizures: a case report and literature review. Acta Epileptologica.  2022.  <a href=\"https:\/\/link.springer.com\/article\/10.1186\/s42494-021-00074-w\" target=\"_blank\" rel=\"noopener\">https:\/\/link.springer.com\/article\/10.1186\/s42494-021-00074-w<\/a><br><br><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>At Kliniek het Bolwerk we carry out eyelid corrections under local anaesthetic. For most people this is a safe and comfortable way of anaesthetising. Do you have epilepsy? Then it is important to always report this, because local anaesthetic can in rare cases affect the excitability of the brain. In this blog we explain what [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":9830,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[92],"tags":[],"class_list":["post-10322","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eyelid-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10322","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/comments?post=10322"}],"version-history":[{"count":1,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10322\/revisions"}],"predecessor-version":[{"id":10323,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10322\/revisions\/10323"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media\/9830"}],"wp:attachment":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=10322"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/categories?post=10322"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/tags?post=10322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}