Seizures are a potential complication of surgical repair of intracranial aneurysms. In order
to prevent seizures, many surgeons administer prophylactic anti-epileptic medication during
the intra-operative and post-operative period, however, such practice is not supported by
clinical data. Retrospective review found the incidence of postoperative seizures was higher
in those who received anti-epileptics versus those who did not. The goal is to examine the
utility of levetiracetam (Keppra) for seizure prophylaxis in patients undergoing surgical
repair of unruptured intracranial aneurysms.