Awake craniotomy - for management of intracranial lesions safely in eloquent areas of brain.
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Date
2012-07
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Abstract
The awake craniotomy is a procedure where the craniotomy and excision of the lesion is done in awake patient without general
anaesthesia. This surgical technique enable surgeons to avoid damaging normal cerebral regions and allow real-time patient
feedback while operating on important functional areas of brain like motor cortex and speech areas (motor, somatosensory, and
language areas). Such surgical interventions would not be possible without anesthesia. This technique was originally introduced
for the surgical treatment of epilepsy and has subsequently been used in patients undergoing surgical management of
supratentorial tumours, deep brain stimulation and near critical brain regions. This surgical approach aims to maximize lesion resection while sparing important areas of the brain.
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Keywords
Awake craniotomy, anaesthesia, cortical mapping, motor cortex, speech areas
Citation
Kupanur Shivakumar S, Shetty Kiran, Shetty Vijaya K, Hiremath D A. Awake craniotomy - for management of intracranial lesions safely in eloquent areas of brain. Medica Innovatica. 2012 July; 1(1): article6.