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Pediatric Awake Craniotomy for Brain Lesions.
Ali Akay1, Mete Rükşen, H Yurday Çetin
1Department of Neurosurgery, Kent Hospital, Izmir, Turkey.
Pediatric Neurosurgery
|January 20, 2016
Summary
Awake craniotomy successfully treated pediatric epilepsy lesions near functional areas. This neurosurgical technique minimizes motor deficits in young patients, offering a viable surgical option.
Area of Science:
- Neurosurgery
- Pediatric Neurology
- Epilepsy Surgery
Background:
- Awake craniotomy is a neurosurgical approach to resect brain lesions near critical functional areas, minimizing motor deficits.
- While common in adults, its application in pediatric cases is infrequently reported.
- Pediatric epilepsy patients with lesions in functional areas often have limited surgical treatment options.
Purpose of the Study:
- To present the successful application of awake craniotomy in two pediatric cases with epilepsy and cerebral lesions.
- To describe the surgical techniques employed in pediatric awake craniotomy for lesion resection.
Main Methods:
- Two pediatric patients with epilepsy and cerebral lesions encroaching on functional areas were selected.
- Awake craniotomy was performed for lesion resection in both cases.
- Surgical methods and techniques were documented and compared with existing literature.
Main Results:
- Successful lesion resection was achieved in both pediatric cases using awake craniotomy.
- The procedure effectively prevented motor deficits during surgery.
- The applied methods were consistent with established awake craniotomy protocols.
Conclusions:
- Awake craniotomy is a feasible and effective neurosurgical method for treating selected pediatric epilepsy cases with cerebral lesions.
- This technique offers a valuable option for preventing neurological deficits in pediatric patients with complex brain lesions.
